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Embolization of Lower Pole and Midportion of the Left Kidney

Date: Jan 6, 2014

Question:

"CFA is accessed. SOS catheter is used to selectively catheterize the LRA. Following review, decision is made to embolize two of the three branches of the left renal artery using ProGreat microcatheter, and coil embolization is performed. Following embolization, the percutaneous neprostomy catheter is removed. During removal of this, the existing double-J was also inadvertently pulled through the tract. Removal of the double-J was not intentional and was accidental."  Would we charge codes 37204/75984 twice? Also, would we charge for the accidental removal of the double-J tube? Not sure what all codes would be valid with this report.

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