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Reporting Diagnostic Cerebral Angiogram Codes with Intervention Codes?

Date: Apr 13, 2020

Question:

When performing an embolization (61624) it is my understanding if the patient has had a previous diagnostic angiogram, then we would report the treatment codes (36126-36218) with the embolization. Is there ever an instance in which diagnostic and treatment codes could be reported together with the embolization? For instance, 61624 for the left MCA, 36217 left MCA, and 36223 for right common carotid, with the rationale that once the coil has been placed a clinical change has occurred in the patient, and therefore a diagnostic code could be reported for the vessels of the side not treated?

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