Items Tagged: diagnostic



ZHealth Coding Newsletter - February 2016

February 2016 Q & A

Question: Vasospasm

Six vessel diagnostic cerebral exam performed. Decision made to treat vasospasm of RICA & LICA. Discussion is whether or not the catheter selections for the bilateral ECA vessel selections are still chargeable since the catheter selections of the RICA & LICA are bundled into 61650. I don't feel they are since they are add on codes to 36224, bilateral in this case.
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ZHealth Coding Newsletter - September 2015

September 2015 Q & A

Question: 36228 with Pipeline Embolization

Following diagnostic cerebral angiogram with bilateral internal carotid artery catheter and 3D angiogram requiring separate work station, angle projections for treatment of the cavernous segment of the right internal carotid artery aneurysm were obtained. Navien catheter was positioned within the intracranial segment of the right internal carotid artery, and Marksman catheter was navigated into the right middle cerebral artery. Then pipeline embolization was done on the right cavernous carotid segment. At the completion of the coiling procedure, cerebral angiogram was performed via the right internal carotid artery. Besides 36224-50, can I add 36228 in this case even though the embolization was at cavernous carotid? I also coded 61624, 75894, 75898, and 76377. Are these the right codes for this case?

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