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can a CARTO and TIPS revision be billed together? 37241 and 37183?

Date: Sep 7, 2022

Question:

Can both billed together? 37241 and 37183

TIPS revision 12 mm balloon angioplasty of the TIPS was done with balloon sweep of thrombus (thrombectomy). Post intervention venogram demonstrated patency of the TIPS with an area of residual thrombus/occlusion at the superior portion. The portosystemic gradient measured approximately 25 mmHg. Subsequently, the superior portion of the TIPS was extended with 11 mm VBX stent Which was post-dilated to 12 mm.

EMBOLIZATION AND SCLEROTHERAPY: Through the retrograde groin accesses, the following interventions were done:

1.  Deployment of multiple detachable coils to occlude the renal venous communication to the shunt.

2.  Exchange to long 10 French sheath and subsequent deployment of 2 cm Amplatzer plug within the shunt in vicinity of the caval/lumbar communication

Question ID : 17739
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