Ask Dr. Z

I checked and the cost of the coils has been factored into the embolization code 37242, which means the coils can't be billed. But where I need guidance is in an office (POS 11) my physician treated an AVM using both coils and Sotradecol. Report states: "On the back table we administered Sotradecol foam mixture consisting of 3 parts air to 2 parts 3% Sotradecol in 2 parts full-strength Optiray 320 contrast." This mixture along with coils were used to embolize a branch of the profunda and two branches off the SFA. I know the coils cannot be separately billed, but can the Sotradecol (J3490) and the Optiray 320 (Q9967) be also coded?