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URGENT: Trinav Catheter Coding Compliance Issue

Date: Sep 19, 2022

Question:

We are a huge cancer center, and I don't want add to a patients expense. The question answered on #16115, I agree with that it wouldn't be a embolization code. Unfortunately we have Revenue Coding Strategies and Pinnacle who are agreeing with the IR physician that he would get the code 37242. They are stating that it is an occlusion device.

Can you please find out from SIR or AMA coding guidelines on this device? Without the guidance from one of them, I am being told we will bill it every time he uses the device as (37242 or 37243), even without embolization material used.

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