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Balloon Maceration of Thrombus

Date: Oct 2, 2014

Question:

Day One - Patient has a percutaneous thrombectomy, common and external iliac stents, and starts thrombolysis. Patient has a left iliofemoral thrombosis (37187, 37212-59, 37238, 37239). Day Two - Follow-up venogram shows residual thrombus in the left external iliac vein. The residual thrombus in the iliac vein was macerated using a pigtail catheter and 10 x 4mm balloon. Thrombolysis was completed (37214). Would you code the venoplasty (35476, 75978) for maceration of the residual clot?

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