Ask Dr. Z

I would like some coding advice on coding the aortic root aortogram and peripheral angiography in the following example. "PROCEDURES: Coronary angiography, right heart cath, aortic root aortogram, peripheral angiography. PERIPHERAL ANGIOGRAPHY: Peripheral angiography of the renals was done. Abdominal aortogram: Technique - RBA access, DSA, with pigtail in abdominal aorta. Findings: Right and left renal arteries are patent; severe calcification of aortic bifurcation; right common iliac moderate focal stenosis; right external iliac moderate diffuse narrowing; right common and external iliac linear defect; right internal iliac is patent; left common iliac mild stenosis; left external iliac occlusion; left internal iliac is patent. AORTIC ROOT AORTOGRAM: A selective aortogram was performed. The size of the ascending aorta is in the upper limits of normal. Maximum aortic diameter: 3 cm. There is no aortic valve regurgitation."