Ask Dr. Z

Is there anything we can charge for the Brevital injection and functional testing as described in the following dictation, or would we just charge for the diagnostic angiogram and embolization? No EEG was performed during this test. "Following placement of the guide catheter, a Marathon flow-directed catheter was navigated over a Synchro-10 guidewire into the posterior cerebral branch 1 where angiograms were performed. Functional testing was then performed with 5 mg of Brevital. The patient did not pass this and developed a homonymous hemianopsia....The micro catheter was then navigated into the right more medial posterior cerebral branch. Angiograms were performed. A 2nd functional testing was performed with 5 mg of Brevital. The patient passed this neurologically. Onyx 18 was then used to embolize this feeding branch."