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Fiducial marker placement during hepatic embolization

Date: Nov 21, 2019

Question:

Right hepatic artery was catheterized with the microcatheter. DSA and cone beam CT confirmed tumor hypervascularity in the lateral aspect of the right hepatic lobe. Transcatheter embolization was performed with PVA particles. The microcatheter was advanced more distally into the treated vessel and an additional two 1 cm hilal microcoils were deployed intravascularly to serve as fiducial markers for stereotactic beam radiation. Can we pick up fiducial marker placement code 49411 even though the markers were placed intravascularly and not percutaneously?

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