Ask Dr. Z

Would you still recommend using unlisted code 37799? We would not code cone beam or 3D post processing, correct? "Two pediatric micropuncture needles were advanced into separate sites of the venous malformation. 3 cc aliquots of foam (bleomycin mixed with human serum albumin) were injected through the needles with continuous fluoroscopic visualization using contrast displacement technique. Approximately 2 to 5 minutes were allowed to pass between injecting each aliquot. Direct digital compression of draining veins was performed to reduce systemic exposure of bleomycin. A total of 18 units bleomycin and 3 cc 25% human serum albumin were injected. The needles were removed. A cone beam CT of the head was performed to compare the distribution of sclerosant to the preprocedural MRI. 3D postprocessing was performed on a separate workstation. Multiplanar reformatted, maximum intensity projection, and volume rendered images were archived to PACS."