tci Part B Insider - 2004 Issue 16

Anatomy : Look For Bovine Arch, Other Anomalies In Cardiac Patients

Scan operative report for clues to bovine archThe bovine arch is fairly common, occurring in roughly 20 percent of patients, according to the Textbook of Angiography (Harper and Row, 1980). In this situation, the right brachiocephalic and the left carotid share the same trunk from the aortic arch.  The presence of the bovine arch means that both arteries are in the same vascular family, says Jeff Fulkerson, supervisor of radiology billing at the Emory Clinic in Atlanta. So if you catheterize both, you'll have to bill for one with 36216 (Initial second order thoracic or brachiocephalic branch, within...

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