My surgeon placed 10 coils in preparation of infrarenal aneurysm repair 2 weeks later.
POSTOPERATIVE DIAGNOSIS: Abdominal and right common iliac artery aneurysms.
PROCEDURE: Right hypogastric artery coil embolization.
–endoluminal repair which will require coverage of the origin of the right hypogastric artery due to extension of his aneurysm into the right common iliac artery. In order to prepare for that procedure, we planned on placing embolization coils into the right hypogastric artery and hypogastric artery aneurysm in order to
control this prior to our main aneurysm repair endograft procedure
–right common iliac artery is aneurysmal
–right hypogastric artery is mildly aneurysmal near its origin
2 principal branches of this proximal aneurysmal trunk
widely patent
–placing 10 coils within the 2 major branches as well as the main body of the hypogastric artery
— wire was advanced easily into the aorta under fluoroscopic guidance.
— appropriate catheters and wires, we navigated into the right iliac system and placed a 6-French x 45 cm sheath
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M0013615120. Coil, 5mm x 12 cm. [x6]
M001361930. Coil, 14mmx50cm. [x1]
M0013615080. Coil, 5mmx8cm. [x3]
I have referenced the Boston Scientific site but they offer no HCPCS code guidance.