tci General Surgery Coding Alert - 2022 Issue Q4

You Be the Coder: Use Two Codes for Combined Technique

Question: Our vascular surgeon accessed the occluded femoral vein through a tiny incision at the patient’s groin, then performed venography by injecting contrast material through the incision into the vein to localize the exact site of the clot. Under fluoroscopic guidance, they inserted a guidewire to the site of the occlusion and threaded a catheter over the guidewire. The surgeon used the catheter, which had a small blade at its tip, to break the clot, and dissolved the clot with multiple injections of a thrombolytic agent. Which CPT® code should I report for this procedure? North Carolina Subscriber...

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