Ask Dr. Z

Patient had a LHC w/ coronaries and LV using right radial approach. Here is an excerpt from the report that is causing us some confusion. " After the diagnostic procedure, we advanced a 6-French guiding catheter. However, we could not advance it beyond the tip of the radial sheath. When we took angiogram through the radial sheath, we found there was extravasation of dye through the radial artery. We treated that with long inflation with a 4.0 x 30 balloon. However, extravasation continued, so we reversed the heparin with protamine and achieved hemostasis with compression bandage, and we also removed the arterial sheath, achieved hemostasis through a D-Stat." Our question is whether we can code for the PTA 35475/75962 of the radial artery. Since this was not a stenosis, are we not allowed to code it? Thank you.