Radiology Question for the Week of September 4, 2017

Would the following scenario code out as an abdominal aortography with bilateral runoff with 75625 and 75716? Or would it be 75630 and 75774 as the department has charged? Selective catheterizations into the arteries were not described.

For a lower extremity revascularization procedure, access with a 5-french sheath was inserted into the right femoral artery and a sequential digital subtraction angiography was performed at multiple levels of the right lower extremity.

Next, a 5-french pigtail was advanced through the sheath over a standard wire into the distal abdominal aorta above the bilateral iliac ostium. From this position, a digital subtraction angiogram was obtained after the distal abdominal aorta.

A glidewire was advanced through the pigtail catheter into the distal left superficial femoral artery (SFA). The pigtail catheter was switched out for a straight tapered glide catheter advanced into the left common femoral artery, and multiple digital subtracted angiograms were obtained of the left lower extremity at multiple levels. Thereafter, endovascular revascularization proceeded.

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