Please note this question was answered in 2013. The coding advice may or may not be outdated.
Fibrin Sheath vs. PTA
Date: May 7, 2013
Question:
Is the following coded as a fibrin sheath (36595-52), a PTA (35476), or both? "A pull-back SVC venogram was then performed, revealing a fibrin sheath and stenosis at the superior cava/right atrial junction. The existing catheter was exchanged for an 11 French vascular sheath. Balloon angioplasty was performed using a 12 mm balloon, followed by a 14 mm balloon for fibrin sheath disruption and stenosis dilation. Follow-up venogram demonstrated satisfactory results with disruption of the fibrin sheath and slight improvement in the SVC stenosis."
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