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Cath Placement for Segmental Arteries of Liver for y90

Date: May 26, 2021

Question:

Please answer this, as we are getting mixed messages from your older answers (Oct.  1, 2013).

REPORT READS:

"Vessels selected: 1) Celiac artery. 2) Right hepatic artery. 3) Segment 5/8 hepatic artery.

Cath into celiac with angiogram then to RHA with angiogram done. This catheter was then advanced into segment 5/8 with angio and y-90 embolization done."

Is it correct to code 36247 for RHA and 36248 for the Segment 5/8 (this is based off your answer from Oct 1 2013)? Or is it just 36248 since the segment 5/8 normally is off the RHA?

What is normal anatomy for SEGMENTAL arteries off the LHA and RHA and does documentation have to state the segmental arteries came off the RHA or LHA?

Question ID : 15567
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