Please note this question was answered in 2016. The coding advice may or may not be outdated.
LE Revascularization
Question:
Is this coded correctly? Can code 36246-XU be reported in this scenario? 75710 59, 37252, 37253 x 3, 37226, 37221, 37222. "1 U/S guide cannulation RT C Femoral A 2 Aortoiliac angiogram 3 LT LE angiogram 4 IVUS pre/post LT C ext. Iliac, c femoral, sfa, popliteal, tpt trunk arteries 5 angioplasty lt sfa 6 stent lt sfa and popliteal 7 stent lt c iliac 8 angioplasty lt external iliac PROC: RT C Femoral A cannulated, sheath placed, cath positioned in infrarenal aorta and aortoiliac angiogram done...stenosis in C Iliac A and bifurcation. Up and over technique, cath positioned in LT C femoral A. LT LE angiogram done. Occluded SFA and Popliteal w. fx stent in P SFA. 1 vessel runoff. Heparinized. Quick cross and wire traversed occluded stents and reenter TPT trunk. angiography. Emboshield. Balloon angioplasty SFA and popliteal. both IVUS. stenosis along SFA. Both Stented and angioplasty. IVUS C. Femoral A, stenosis. Stent and angioplasty to C. Iliac A. Balloon angioplasty entire external Iliac A. IVUS E Iliac A."
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