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Hi Dr. Z. could you help us out with this senario? Patient presents with clinical characteristics of Lerich syndrome. Pt. was denied MRA. Initail Lt. radial approach. Catheter placement in AO above the renal arteries. Abd AO with Bi-Lat Runoff. There was a 3.5cm occlusion of the abd ao to the aorotoiliac bifurcation. Since the equipment in stock might not reach, due to the distance, both fermoral arteries were cannulated. Kissing balloon angioplasty followed by kississing stent placement. Comments and Conculsion: Leriche syndrome distal abdominal occlusion extending into both cmn iliac arteries, successfully recanalized and stented with visis-pro stents. Would this be??? 36200-59, 75630-59 and 37221-50???? Or would you just code 36200 x3 w/59's 75630 -59 37205 and 75960??? Thank you very much!