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CODA balloon insertion for emergent AAA rupture patient transfer

Date: Jan 24, 2018

Question:

A 90-year-old patient presented with abdominal pain in the ER. CT was performed, which showed a rupture AAA. The Cath Lab call team was requested. Once the team arrived, the patient was sent to the cath lab. Ultrasound vascular guidance fluoroscopy was used, then the physician inserted a CODA balloon to stop the bleeding and stabilize the patient for transfer to another facility, with the surgery team awaiting the patient's arrival." I am not aware of a CPT code specific for a CODA balloon insertion. Would it be acceptable for the cath lab to code catheter (balloon) placement (36200) and unlisted procedure? Or perhaps balloon embolization to stop a hemorrhage?

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