Please note this question was answered in 2021. The coding advice may or may not be outdated.
Multiple Vessel PE Mechanical Thrombectomy
Date: Feb 24, 2021
Question:
Physician did a multiple-vessel (R & L) PE thrombectomy for a patient with commercial insurance. Can the physician code separately for the two distinct vascular families? 37184 in the RPA, 37185 in the right upper lobe, 37185 in the right lower lobe. Then code 37184 on a separate lesion in the LPA, 37185 on the left upper lobe and 37185 on the left lower lobe. Is it appropriate to code 36015 for selective cath placement in each of the segmental pulmonary branches, 75743 for each selective diagnostic CTA, and 99152 for moderate sedation?
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