Ask Dr. Z

I'm wondering if I can bill together 61650 and 37215. I checked NCCI edits and it didn't hit for any edits. This is what the provider did: "Placement of a Infinity 088 guide catheter within the left common carotid artery. Follow-up angiogram of the neck via left CCA contrast injection showed severe 85% focal stenosis involving the proximal to mid cervical left internal carotid artery. There is a meniscus sign indicative of clot/soft plaque. Additionally, there was severe tortuosity of the cervical mid to distal left ICA leading to this surgery to be extremely difficult. Navigation of a 035 Glidewire past the stenosis within the cervical left ICA. Follow-up angiogram of the neck via left CCA contrast injection showed severe spasm involving the cervical left ICA. Intra-arterial infusion of 5 mg of verapamil into the cervical left ICA over 10 minutes time. Then navigation and deployment of a 3 mm spider distal embolic protection device to the petrous left ICA. Then the 035 Glidewire was subsequently removed."