Overlapping Stents performed in 2 Separate Veins

May 18, 2017

Question:

"Severe compression of the right common iliac vein was treated with Wallstent 14 x 90 mm. Right external iliac vein was treated with Wallstent 14 x 60 mm overlaping with common iliac vein stent. Severe compression of the left common iliac vein was treated with Wallstent 18 x 90 mm. Left external iliac vein was treated with Wallstent 16 x 60 mm overlaping with common iliac vein stent. Self-expanding stents were deployed under x-ray guidance, both common iliac vein stents were deployed in the distal IVC at the area of IVC compression, overlapped segment 40 mm. Post dilatation was performed using Atlas 14 x 60 mm non-compliant balloon in the left iliac veins and Atlas 12 x 60 mm balloon in the right iliac veins. Excellent result with 0% residual compression was achieved." Could you please confirm if this follows arterial guidelines and I would only code this as 2 separate interventions due to the overlapping of the stents on each side? Or could I possibly code this as 4 separate interventions because there are 4 vessels named, even with overlapping stents?

Question ID: 9318
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