Medical Coding for Vascular Surgery

Question: I wanted to try getting into cardiology coding and a friend told me to start with vascular surgery. I am at a loss as to where to start to prepare for this area of coding. My background so far has only been in risk adjustment. I love it but I want to do more.
============
This is from the CCO QandA November 2019 Webinar Free Public Webinar.
Handouts, transcripts, enhanced video replay and instructor access are available to CCO Club members. If you are interested in membership visit http://cco.us/club.
=============
Vascular surgery encompasses the diagnosis and comprehensive, longitudinal management of disorders of the arterial, venous, and lymphatic systems, exclusive of the intracranial and coronary arteries. Diplomates in vascular surgery should have significant experience with all aspects of treating patients with all types of vascular disease, including diagnosis, medical treatment, and reconstructive vascular surgical and endovascular techniques.

Vein Treatment

• Radiofrequency ablation (RFA)

• Endovenous laser treatment (EVLT)

• Mechanochemical Ablation (MOCA)

Scenario

Patient presents to the ER with a cold leg and dusky

forefoot. Previous fem-AK pop with prosthetic, now

occluded. Good Caliber GSV…Off to OR

– Consult Service

– Perform a fem-pop bypass with vein

• Endarterectomy at site of bypass

• Completion Angiogram

• Redo bypass

– Poor inflow with iliac occlusion, so Iliac Stent

• Follows up two weeks later with a patent bypass

but had a TIA. US shows high grade stenosis

– Clinic visit

– CEA

• Follows up a month later with a patent bypass but

gangrenous toes 1-5

– Clinic Visit

– TMA

• 2 months from original presentation, patient

complains of pain in calf with ambulation

– Duplex reveals a drop in ABI but stent poorly visualized

– Angiogram reveals high grade stenosis at distal

anastomosis

• Decide to intervene and Treat with angioplasty

– 75710, 37224

– Angiogram of the Aorto then move catheter to look at LLE?

– Angiogram of the Aorta, pelvis and LLE w/o moving the

catheter?