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

Mechanical Thrombectomy of Lower Extremity

A 70-year-old patient is admitted with extensive thrombus within the left femoral and iliac vein. A wire was advanced into the vena cava and contrast was injected. The thrombus was identified just above the inguinal crease. The angiojet was advanced to the thrombus and most of the thrombus was treated. An infusion catheter was then advanced into the femoral vein. The patient was then bolused with 2.5 mg of tissue plasminogen activator (tPA) to flush the catheter and initiate chemical thrombolysis, which was to be performed overnight. What is the correct procedure code assignment? ...

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