tci General Surgery Coding Alert - 2005 Issue 1

Reader Questions: Report Arteriogram if It Prompts Angioplasty

Question: The surgeon performed diagnostic arteriogram followed by balloon angioplasty of the right superficial femoral artery (SFA) with stent placement. May I report the arteriogram separately? Kansas Subscriber  Answer: Yes, you may report the diagnostic arteriogram in this case, because the arteriogram determined the need for the follow-up angioplasty. Depending on how the surgeon accessed the SFA, you should also report the appropriate catheter placement code, in addition to the related supervision and interpretation radiology code.   If the surgeon created the catheter puncture ipsilateral to the SFA (on the same side of the body), you could either...

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