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IVC Filter Placement and Removal during same session

Date: Mar 2, 2012

Question:

I’m sorry I was not able to make it the Las Vegas conference this year but I do plan to attend your 2012-Tennessee conference.  As always, I always come to you guy with the tough questions.

What is your coding recommendation for coding a IVC filter Placement and Removal during the same session and same access?  First time I’ve have ever seen this.  Patient has extensive IVC and bilateral iliacs thrombus and is on day 3 for thrombolysis.  F/U angiogram via bilateral extremity, Filter placed via rt internal jugular, Venoplasty via rt fem vein access, Thrombectomy and Stent placement of IVC via rt inj access and rt com femoral vn, bilateral venoplasty of iliac veins and then IVC filter was removed at the end.

Your feedback is greatly appreciated.

Thank you,
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