AHA Coding Clinic® for ICD-9 - 2006 Issue 2; Ask the Editor

Mechanical Thrombectomy of Lower Extremity

A 71-year-old patient is admitted with large volume left lower extremity deep vein thrombosis (DVT). Using ultrasound guidance, a micropuncture set was used to gain access to the lesser saphenous vein. Using a guidewire, the thrombosis in the superficial femoral vein was transversed. A standard J-tipped guidewire was then placed and an angiojet catheter was then advanced over the catheter and used throughout the length of the thrombus. A venogram showed lysis of about 50% of the origin clot burden. A 40 cm infusion catheter was then placed and catheter directed thrombolysis was initiated. How should this procedure be coded? ...

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