Ask Dr. Z

I think I'm getting myself confuse with code 37241 and 61626.

Is 61626 more appropriate for this procedure? CPT instructions state, for non-CNS and non-head and neck embolization, see 37241-37244. Is neck lymphatic malformation a non-CNS and therefore 61626 should be used instead of 37241?

"TECHNIQUE: Right face and neck were prepped and draped in sterile fashion. Ultrasound was used to evaluate the lymphatic malformation and access into the malformation was obtained using a 21 gauge needle. Contrast injection venography confirmed location. Sclerotherapy was performed under fluoroscopic guidance. Three additional sites were selected and again access into the malformation was performed using a 21 gauge needle under ultrasound guidance. Location was confirmed with contrast injection. Sclerotherapy was performed under fluoroscopic guidance.

SCLEROSANT: Doxycycline 100 mg (4 mL) diluted in 1:1 ratio of Omnipaque and Bupivacaine for a final concentration of 25 mg/mL."