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Bilateral tPA Infusion

Date: Apr 17, 2014

Question:

Our patient had bilateral tPA infusion catheters placed in each radial artery for frostbite in thumbs and fingers. On the subsequent day, follow-up angiography was done through each catheter. The catheter in the right arm was removed, as flow had improved. The catheter in the left arm was exchanged and tPA continued with hopes of improvement in flow to the digits in this hand. The plan is to return in the morning for another follow-up. I get edits if I try to put code 37213 for the left arm and 37214 for the right arm. What are your thoughts on how to charge this bilateral follow-up/cessation of the tPA infusion?

Question ID : 5501
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