icd 9 code for aortogram with lower extremity runoff

What is an abdominal aortogram with runoff called?

This may be referred to in documentation as an ‘abdominal aortogram with runoff’, ‘AIF’, or ‘AIFF’. When the report also describes lower extremity runoff, this refers to imaging of the iliofemoral arteries (the lower extremities to at least the femoral arteries) in addition to the abdominal aorta.

What are the findings of an aortogram with iliofemoral runoff?

An aortogram with iliofemoral runoff was obtained. Findings of angiographic imaging are noted below: Aorta: The abdominal aorta is patent from the renal arteries to the aortic bifurcation. Right Lower Extremity: The right common iliac artery has minimal plaque that is non-obstructing.

What is the CPT code for abdominal aortogram?

This code is assigned when a complete abdominal aortogram is performed without documentation of lower extremity imaging. If, after the abdominal aortogram is performed, additional imaging is done of the lower extremity (iliofemoral) arteries without repositioning the catheter to the lower part of the abdominal aorta, code 75630 would be assigned.

What are the diagnostic options for bilateral lower extremity arterial runoff?

Pelvic angiogram with bilateral lower extremity run-off. 1. Pelvic Angiogram 2. Bilateral lower extremity run-off. 3. US and fluoroscopy guided left radial artery access.

What is the CPT code for aortogram with runoff?

CPT® code 75630 describes abdominal aortography with bilateral iliofemoral runoff from this single high catheter position. More commonly, the catheter will be repositioned to the lower part of the abdominal aorta for the imaging of the iliofemoral arteries.

What is an aortogram with runoff?

Is a non-invasive procedure that is also known as an arteriogram, this is an X-ray image of the blood vessels. It is performed to evaluate various vascular conditions, such as a aneurysm (ballooning of the blood vessel), stenosis (narrowing of a blood vessel), or blockages.

What is the CPT code for aortogram?

Code 75625 is for an aortogram, only. Code 75710 or 75716 is reported in addition to 75625 if the catheter is moved to the aorta bifurcation or into one of both extremities, providing additional imaging of one or both legs.

What does runoff mean in arteriogram?

In an abdominal aortogram with “runoff,” a catheter is placed in the abdominal aorta through an artery. Contrast medium is injected through the catheter for imaging and interpretation. The contrast flows from the abdominal aorta to the arteries of bilateral, lower extremities.

Is aortogram and aortography the same?

Aortography involves placement of a catheter in the aorta and injection of contrast material while taking X-rays of the aorta. The procedure is known as an aortogram.

What is an arteriogram of lower extremity?

Overview. Lower extremity angiography is a test that uses X-rays and contrast dye to see the arteries that carry blood to the legs. It's used to look for narrowed or blocked areas in leg arteries that can cause leg pain when walking.

What is the CPT code for left lower extremity angiogram?

The catheter was then cannulated in the left common iliac and a left lower extremity angiogram was performed (remove CPT 36200 and add CPT 36245-LT).

What is the difference between 75625 and 75630?

In general, if cath.is placed at or below level of renals and injected, and then cath.is moved into legs (either unilat-75710 or bilat-75716) then you would bill 75625. You would only use 75630 if cath. was placed at or below level of renal and injected and no other studies were done.

What is procedure code 36246?

CPT® Code 36246 in section: Selective catheter placement, arterial system; abdominal, pelvic or lower extremity artery branch.

Is aortogram and angiogram the same?

An arteriogram is a procedure that produces an image of your arteries. During the procedure, your doctor will use contrast material, or dye, and X-rays to observe the flow of blood through your arteries and note any blockages. This procedure, also known as an angiogram, can be done on many different parts of your body.

What is CTA lower extremity runoff?

Run-off computed tomography angiography (CTA) has become the method of choice for non-invasive imaging of the aorta and lower limb vessels in patients with suspected PAD [5] and is considered to be more accurate than arterial duplex sonography [6].

What is runoff in medical terminology?

run·off. (rŭn'awf), Delayed part of the angiographic examination of a vascular bed, to show small artery patency.

Why is an aortogram performed?

An arteriogram or aortogram may be performed to detect any abnormalities in the blood vessels or the aorta. The most common issues are aneurysms, the narrowing of blood vessels, spasming of the blood vessels, arteriovenous malformation, thrombosis, or occlusion.

How long does an aortogram take?

How long does this test take? An Aortogram usually takes about an hour.

Do they put you to sleep for an arteriogram?

The angiography procedure For the test: you'll usually be awake, but general anaesthetic (where you're asleep) may be used for young children. a small cut is made in the skin over 1 of your arteries, usually near your groin or wrist – local anaesthetic is used to numb the area so it does not hurt.

How is aortography performed?

During aortography, performed in a hospital, you'll be mildly sedated while your doctor threads a catheter from your groin or arm into the aorta. The doctor then injects a special dye into the catheter, while X-rays take images to see how the dye moves through the aorta.

What is the CPT code for abdominal aorta catheterization?

Therefore, when the catheter reaches the aorta we take it as non-selective catheterization. The CPT code for abdominal aorta catherization is 36200.

What is the sensitivity of an aortogram?

The aortogram was previously considered the gold standard test for the diagnosis of aortic dissection, with a sensitivity of up to 88% and a specificity of about 94%.

What is abdominal aortogram?

Abdominal aortogram is generally used to study aorta region. This study is same like coding for CPT code for angiogram which includes injection of contrast and taking their images. It is said that study of Aortogram is very complex for medical coders. For coders who want to pursue a career in coding should really know how these procedures are ...

How to examine abdominal aneurysm?

In order to examine it, doctor will thread a narrow, flexible plastic tube, called a catheter, through the arteries suspected of having the narrowing or blockage. The tube will be hooked to a pump that injects X-ray dye.

Is a catheterization code selective or non selective?

For medical coders, the concept of selective and non-selective catheterization codes is not new. While doing coding for Abdominal Aortogram, this concept can help coders to understand the procedure. This procedure consists of following important steps:

Is abdominal aortography safe?

The technique of abdominal aortography is there for a long time. This procedure is simple, and very little special equipment is necessary. In terms of effecting related vessels, it is considered harmless. The aortogram was previously considered the gold standard test for the diagnosis of aortic dissection, with a sensitivity ...

Aortogram with Bilateral Lower Extremity Run-off

What are the correct codes to submit for aortogram with bilateral lower extremity run-off with right femoral artery puncture?

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What is the code for a balloon stent?

37226 is coded for stent placement, and this code also includes all ballooning performed in this vessel, so no additional code for PTA is reported. A covered stent is coded the same way as a noncovered stent. Drug-eluting stents are also coded with 37226.

What is the code for a stent placement?

Code 37221 describes the stent placement. Code 36246 is reported in addition to the stent placement because the higher degree of selective catheter placement was performed for the diagnostic study, not the intervention. Code 37221 includes the catheter work to perform the intervention, which in this case is equivalent to code 36140 (nonselective catheter placement into the EIA from the ipsilateral CFA puncture).

What is a single code for a contralateral approach?

A single code includes all of the work performed in this procedure. If the procedure were performed from the contralateral approach, the procedure would be coded with 37225 as well. The new codes average the frequency of more complex access. 75710 (RS&I unilateral lower extremity arteriography) may be coded if the information gained from the angiography altered the provider's intent to treat.

What is a CTA in aorta?

Computed tomographic angiography (CTA) documented a focal right CIA stenosis and a long right external iliac artery (EIA) stenosis. A catheter was placed into the aorta from the right femoral approach, and imaging of the aorta and iliac arteries was performed, confirming the findings of the CTA and allowing vessel measurement. The EIA lesion was pretreated with balloon angioplasty to allow placement of a sheath. The CIA stenosis was then treated with balloon angioplasty. The EIA stenosis was treated with two stents, and the arteriotomy was closed with a closure device.

Is iliac stent code 37221 reported separately?

Because both angiography and the intervention were performed from the same puncture, catheterization is not reported separately. Code 37221 includes stent placement plus all ballooning done within that vessel, so percutaneous transluminal angioplasty (PTA) is not separately coded. A single interventional code is used for each vessel treated.

What is the CPT code for aortogram?

There are a couple of additional tips we need to keep in mind when coding for aortograms: CPT codes from the radiology section of the manual like CPT 75625 and 75630 include “radiology supervision and interpretation.”.

Where is the aortic root?

The aortic root is where the coronary arteries which supply blood flow to your heart connect to the aorta. The aorta ends at this point (the heart is located on the other side of the aortic valve). Aortogram: A set of images obtained in one segment of the aorta after introducing dye into the aorta through a catheter.

What is the aortic arch?

Aortic arch: The segment of the aorta which is located between the ascending aorta and the descending thoracic aorta and is the portion of the aorta where the “head vessels” (the subclavian, the carotid, and the brachiocephalic trunk arteries which supply blood flow to the head, neck, and arms) branch off.

Why is abdominal aorta not billed separately?

Incidental imaging of just those last few centimeters of the abdominal aorta wouldn’t be billed separately as an aortogram because the physician is not imaging enough of the aorta to confirm or rule out presence of disease in the abdominal aorta.

What is CPT 75625?

CPT 75625: Aortography, abdominal, by serialography, including radiological supervision and interpretation. As you can see, CPT 75625 states “aortography abdominal” (referring to an aortogram of the abdominal segment of the aorta) by serialography. So CPT 75625 reports multiple pictures of the abdominal aorta by itself.

Can an angiogram be unilateral?

Lower extremity angiograms can be either unilateral (images of the arteries of one leg only) or bilateral (images of the arteries of both legs). Serialography: A technique that involves taking multiple images during an angiogram rather than a single image.

What is an abdominal aortogram and bilateral leg arteriogram?

This procedure finds areas in your blood vessels where they are narrowing or closing. An aortogram may also be used to evaluate an abdominal aneurysm.

Why is it necessary?

Patients who have pain in their legs when they walk often have a blocked or narrowed blood vessel. Fatty deposits can build up in your blood vessels, reducing blood flow, and in some cases, blocking it completely.

How is it done?

The doctor will thread a narrow, flexible plastic tube, called a catheter, through the arteries suspected of having the narrowing or blockage. The tube will be hooked to a pump that injects X-ray dye. Once the X-ray pictures show where the blockages are, your doctor will be able to tell the best way to open the blocked blood vessels.

What should you expect?

You must not to eat or drink anything after midnight the night before the study except for your normal medications. Your doctor or nurse will tell you if you should stop taking any of your medications prior to the procedure.