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Additional Angioplasty Code for Profunda

Date: Jan 20, 2014

Question:

Based on the report below, my question is as follows: Is an additional angioplasty code used for the "profundus" since it branches off the common femoral? If so, which code? I used codes 37221 (EIA stent), 37224 (fem/pop PTA), 75710-2659 (iliac imaging), and 75774-2659 (SFA imaging).

Access from right. Cross-over to left iliac via omniflush and glide wire. Angiography showed occluded external iliac artery just after internal takeoff. Glide wire passed into SFA. Catheter advanced to SFA, and angio showed patent SFA. Then 0.018 wire placed in SFA and another wire in profunda. Angioplasty was done in SFA, profunda, and left iliac with thrombectomy through the 7 French sheath. This restored flow. A stent was placed in iliac to cover left iliac dissection with slight extravasation at end of procedure treated with reversal of anticoagulation.

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