Ask Dr. Z

Would this be considered an occlusion or embolization and substantiate the use of 61626 head or neck and R&I 75894? If not, what CPT code would you recommend and why? "Local anesthetic was applied in the marked incisions. With the help of ultrasound, we introduced an 18 gauge needle in the venous lake anteriorly in the right side lateral to his nose, and back bleed was seen. We then injected contrast and confirmed under fluoroscopy that we were inside the vascular malformation. Then using Sotradecol we injected the venous lake without difficulties under fluoroscopy. We turned our attention to the posterior part of the vascular malformation, we introduced an 18 gauge needle in the venous lake. We then injected contrast and confirmed fluoroscopy that we were inside the vascular malformation. Then using Sotradecol we injected the venous lake without difficulties under fluoroscopy. After the second injection of Sotradecol the vascular malformation started to become edematous, which was expected given the Sotradecol."