Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2012. The coding advice may or may not be outdated.

Thrombin injection with balloon occlusion

Date: Mar 28, 2012

Question:

Hi, We have a question about a thrombin injection of a right SFA pseudoaneurysm with the use of a ballon to blcok the vessel. We understand code 36002 and 76942 is assigned for the injection. However, should we also add 36247, 75710, and ?37799 for the balloon blocking portion? Thanks! "We felt lower extremity angiography with balloon blocking of the neck would assist with the procedure and prevent thrombin from migrating into the native vessel. Access was obtained via the left femoral artery. We crossed over using a rim catheter with angled Glidewire. We then were able to exchange for an Amplatz wire. We then placed a Destination sheath. We used a 5 x 40 balloon to block the neck of the pseudoaneurysm, which was visualized under digitally subtracted images. Using ultrasound guidance, we injected the pseudoaneurysm. Ultrasound color Doppler showed no flow afterward. All equipment was removed, a runoff of the right lower extremity was taken. A selective angiogram shot of the left femoral access was taken and a 6-French Angio-Seal was deployed to obtain hemostasis."
Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!