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Embolization with thrombectomy

Date: Mar 1, 2021

Question:

"We performed a diagnostic cerebral angiogram showing an 8 mm aneurysm of the left A2/3 junction, which was coiled. The follow-up imaging showed acute thrombus in the left middle cerebral artery. Thrombectomy was performed."  

The physician wants to charge 61645. I'm thinking we can charge 61624 for the embolization and 61645 for the thrombectomy. Would you agree? If we can charge both, what about the selective catheterizations (36223-RT, 36224-LT, 36226-RT) and imaging (75894, 75898)? They selected the right common, left internal carotid, and the right vertebral.

I know with 61624 we charge separately, but with 61645 all is bundled. Would modifiers be appropriate in this situation?

Question ID : 15149
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