This 52-year-old male patient with HTN and ESRD on hemodialysis has had problems with his brachial-cephalic AV shunt. A diagnostic angiography is performed on the AV shunt. Needle is in in
This 52-year-old male patient with HTN and ESRD on hemodialysis has had problems with his brachial-cephalic AV shunt. A diagnostic angiography is performed on the AV shunt. Needle is in inserted directly into the AV shunt, contrast is injected, and angiography is performed. Thrombosis is seen in the peri-anastomotic inflow of the shunt. This is treated with balloon angioplasty. A small area of thrombosis is also seen in the cephalic vein, which is also treated with balloon angioplasty. Next, selective catheterization is then performed of the brachial artery, contrast is injected, and an arterial angiogram is performed. There, an area of thrombosis is visualized in the proximal brachial artery. Therefore, a stent is placed across the area, and balloon angioplasty is performed at the level of the stent, on the brachial artery. Assign the appropriate CPT procedure codes, modifiers (if appropriate), and ICD-10 diagnosis codes for the procedure
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