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Embolizations

Leorah Posted Sun 05th of May, 2019 02:37:06 AM
Our doctor performed an embolization procedure with coiling and then decided that the patient needed and additional two pipeline embolization devices in the same aneurysm. What would the proper coding be?
SuperCoder Answered Mon 06th of May, 2019 09:57:41 AM

Hi,

 

As per the above-mentioned documentation, the appropriate CPT code would be 61624 [Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord)]. Since, your doctor has placed two additional pipeline embolization devices, so you append modifier 22 (Increased procedural service) with the CPT 61624. For additional two pipeline embolization devices supply code C1884 (Embolization protective system) can be billed if payer allowed.

Also attach copy of operative report along with bill to justify the medical necessity.

 

Thanks

 

Leorah Posted Tue 07th of May, 2019 02:03:58 AM
Thank you. How many 75894 codes can I use?
SuperCoder Answered Wed 08th of May, 2019 02:06:12 AM

Hi,

For radiological supervision and interpretation, use only one unit of CPT 75894. 

 

Thanks

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