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Cerebral Angio w/ Embolization

Date: Mar 29, 2024

Question:

I have a patient that came in with a LT Paraophthalmic artery aneurysm. Dr. States that they Did a selective LT Subclavian artery catheterization and angiogram was performed, LT External carotid artery using roadmap technique viewing the Occipital, Middle Meningeal, superficial temporal, and internal maxillary. He also did the LT Internal Carotid under roadmap technique. Multiple runs in multiple views noting the LT Ophthalmic artery region at this point he used 3D rotational angiogram to obtain a better eval. This was reconstructed on a separate workstation. At this point a phenom microcath was cathed into the Ipsilateral M2, pipeline flex was deployed a second pipeline was placed to ensure stasis given the ophthalmic artery came off the neck of the aneurysm.

Am I correct in my coding? 61624, 75894, 75898, 76377, 36225, 76937?

I don't feel coding the 36224 ,36227, 36228 would be valid and that they would be inclusive of the 61624.

Please advise......Thank you

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