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AHA Coding Clinic® for HCPCS - 2010 Issue 4; ASK the EDITOR

Arstasis

Arstasis is an access technique that lends itself to hemostasis facilitated by physiology and the laws of physics. It creates a tissue track that slants across the arterial wall in a diagonal, thus facilitating closure when the sheath is pulled, utilizing the patient’s arterial pressure, as well as hydraulic principles, to seal the access track. This system is intended to provide access for the percutaneous introduction of devices into the peripheral vasculature and to promote hemostasis at the arteriotomy site as an adjunct to manual compression. Additionally, this system is indicated for use in patients undergoing diagnostic femoral artery catheterization procedures using 5F or 6F introducer sheaths. Would it be appropriate to accurately report Arstasis with HCPCS code G0269, Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (eg, Angioseal plug, vascular plug), or would this a reportable procedure? ...

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