Peripheral Angiogram coding of diagnostic codes

May 18, 2017

Question:

I am fairly new to coding peripheral leg angiograms and would like some clarification on if this coding seems accurate for an OBL setting in Texas. "Patient's first angio. Procedures performed: 1) Abdominal angio with distal runoff. 2) Right lower extremity angiogram. 3) Selective injections below knee in the third order. 4) PTA and atherectomy of the right peroneal artery. 5) PTA of the right anterior tibial artery. 6) PTA of the right posterior tibial artery. 7) 70 of contrast was used; zero waste. 8) Moderate sedation monitoring 0715 - 0835. 9) Medication: Benadryl 50 mg, IV Versed 2 mg, IV Fentanyl 50 mcg, intra-arterial nitroglycerin 700 mcg, Plavix 600 mg." Would I code as followsL 75630-XU, 75710-XU, 36247-XU, 37229, 37232, 37232, Q9967, 99152, and 99153 x 4? Can the monitoring of the sedation continue outside of the procedure room? Can I bill for any of the meds listed?

Question ID: 9306
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