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Angiogram of Aneurysm

Date: Sep 18, 2018

Question:

My provider is trying to bill 36228 for the angiogram done of the choroidal aneurysm after first doing angiograms of the LCC and LIC (36224). This is what he documents: “A scepter XC 4 x 11 mm balloon was advanced into the MCA followed by advancement of an echelon 10 microcatheter into the aneurysm. An aneurysmogram was performed. The aneurysm was now sequentially coiled with Codman coils. Left anterior choroidal artery aneurysm: Superselective aneurysmogram better delineates the size and shape the aneurysm.” I do not feel that this is a true diagnostic angiogram, and he does not give us any detail of what was seen... he only says the aneurysmogram better delineates the aneurysm. Do you agree with billing or not billing the 36228?

Question ID : 11422
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