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.
I would not submit catheter placements. And you are correct, CPT code 36227 cannot be submitted without CPT code 36224. I would only submit codes 61650 and 61651 for bilateral carotid treatment. Had the vertebrals been selected, those would have been billable (36226) if not treated.