Ask Dr. Z

"Patient with left leg DVT with CT showing May-Thurner syndrome. Accessing the left popliteal vein a venogram was performed. The thrombosed portion of the left lower extremity was recanalized in the femoral, external iliac, and common iliac vein. Thrombosis throughout all these veins. Catheter to the IVC with an Inferior Cava venogram demonstrated no caval thrombus. AngioJet thrombectomy in the left leg with tPA performed. After swelling time of 20 minutes AngioJet again. Good results to the origin of femoral vein but partial occlusive thrombus in CFV and common iliac without inflow from profunda or internal iliac. So an infusion catheter overnight to be placed. However, since the flow was completely stagnant and there is only a mild amount of thrombus inline, we decided to perform angioplasty, as the risk of PE would be low and we wanted to have some flow through this segment, preventing re-thrombus. Angioplasty of left common iliac vein. Infusion catheter placed from prox fem through com iliac vein. Then infusion catheter placed." Would you report codes 36010, 75820-59-LT, 75825-59, 37187, and 37212-59?