|I have spent hours trying to figure out the CPT® codes for the following scenario: The question requires 2 surgery codes for the left and right renal artery and the radiology code
Selective catheterization of both renal arteries.
The right femoral artery was entered by Seldinger technique, and a 6-French sheath was placed. No heparin was used. The patient had a BP of over 200 systolic. After placement of the 6-French sheath, a pigtail catheter was introduced and an aortogram was done in the AP projection using 20 cc of dye. Next a 5-French Cobra catheter was introduced, and both the left renal artery and the right renal artery were selectively opacified. The patient was sent to her room in good condition without complications after renal angiograms had been done, the sheath had been removed, and hemostasis had been secured.
Results: Right renal artery—there is a single right renal artery with a minimal irregularity along the wall, but no evidence of significant fibromuscular dysplasia or stenosis is noted. The distal nephrogram appears unremarkable.
Left renal artery—there are two renal arteries, the upper pole renal artery rising in the normal location and the lower pole renal artery considerably lower. Both these vessels appear relatively unremarkable with no stenosis or fibromuscular dysplasia seen either. (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.)