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Aortic Arch Angiogram, Bilateral Selective Carotid Angiography

Date: Jul 16, 2013

Question:

Does this documentation support assignment of a selective angiography (36222-50)? The findings show right and left common carotid, right and left external carotid, and right and left internal carotid results.

PROCEDURAL TECHNIQUE: The patient was brought to the lab and prepped and draped in sterile fashion. Local anesthesia was given. A 5 French sheath was placed in the right common femoral artery using anterior wall puncture. Next, 3000 units of heparin was administered. A 5 French pigtail catheter was advanced to the level of the ascending aorta and aortic arch. Angiogram was performed in the LAO projection. Bilateral selective carotid artery angiography was performed using a JR4 diagnostic catheter. The patient tolerated the diagnostic procedure well, and hemostasis was obtained using a Mynx device.

Question ID : 4969
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