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75630

Date: Mar 30, 2012

Question:

Hello Dr. Z I have a question when it comes to cpt code 75630 vs. 75625 and 75710. In the case below i am more inclind to use 75625 and 75710. one of the things holding me back from using this is no catheter movement documented (75630). But un the other hand i dont have medical necessity or finding for a bilateral extremity study. all that mentioned for is the Lt CFA and SFA. thanks, ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Procedure: pelvic angiogram Both groins prepped and draped in the usual sterile fashion. 5F micropuncture set and USG used to access both CFA. 035 bentson wire was advanced from the CFA through the iliac artery and into the abdominal aorta. 5F vascular sheaths placed. 5F Pigtail catheter was advanced over the wire from the L access into the abdominal aorta used for aortogram and pelvic arteriogram. This showed infrarenal aortic thrombus and thrombosis of the L CFA, SFA. 5F Cobra catheter used from the R groin access to advance access into the contralateral CFA and SFA. 100cm MTI catheter with 20cm infusion length inserted across CFA and proximal SFA. L access pigtail catheter exchanged for 5F MTI with 5cm infusion length placed across aortic thrombus. Imp: 1) aortic thrombus and L CFA, SFA thrombosis, s/p initiation of TPA
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