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61645, 61645.59 for RT MCA then LT ACA thrombectomies from RT ICA only?

Date: Jun 22, 2022

Question:

If the radiologist accesses the right common carotid, right internal carotid, and right distal M2/proximal M3 and performs thrombectomy, then retracts the catheter and manipulates through the A-comm into the left ACA and performs thrombectomy, would that still be considered two vascular families even though he did not retract into the arch and go through the left common carotid to left internal carotid to the left ACA? Can we report codes 61645, 61645-59?

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