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Catheter Placement for Embolization of Coronary Artery Fistula

Date: Dec 16, 2013

Question:

Patient with two coronary fistulae had a preliminary LT coronary arteriogram in AP, RT anterior oblique with caudal angulation working projections, predetermined from review of patient’s previous cardiac cath, no interval changes (no mention of when previous cath was performed). Origins of both coronary artery fistulae visualized, guiding cath into distal circumflex with control arteriogram through it, then axium coils placed. Left coronary arteriogram confirmed occlusion. Embolization of proximal circumflex coronary artery fistula in same manner. We reported codes 37204, 75894, and 75898. As catheter placement for embolization is supposed to be assigned, can we use code 93454? Or will the “guiding cath” not be coded due to mention of prevous heart catheterization?

Question ID : 5267
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