Please note this question was answered in 2019. The coding advice may or may not be outdated.
Diagnostic angio with embolization same session
Date: Jan 16, 2019
Question:
Provider takes patient into IR for diagnostic angiogram and per the results decides in the same session to do embolization for occlusion in the left posterior artery. What would be the accurate codes? My train of thought is that angiogram codes would be bilateral CCA 36223, bilateral VA 36226-50, and left posterior 36228-LT. The embolization would supersede the 36228-LT and 36226-LT, so codes would be embolization left posterior 61626; catheter placement 36217, 36223-50, and 36226-RT; and 75898-26, 75894-26. I was informed not to bill out 36217 and to bill 36228. Please advise.
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