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Selective catheterization of the middle meningeal artery non-diagnostic

Date: Oct 9, 2023

Question:

Hoping you can clarify coding a super-selective catheterization of the left middle meningeal artery petro-squamosal branch.

Our surgeon performed an embolization of a left sided dural AV fistula. Patient had previous diagnostic angiogram a few days prior so I will be using the catheterization codes only. Would the following be coded as below?

Selective Cath LCC, Selective Cath LIC, Selective Cath LEC, Selective Cath Left Middle Meningeal Artery Petro-squamosal Branch

LCC not allowed

36216 LIC

Left External not allowed

36218 Left MMA Petro-squamosal

61624, 75894-26, and 75898-26 as completed (MUE 2)

When the external carotid is catheterized as non-diagnostic, I question how to bill additional sites on the way, and if additional 36218's would be allowed, or is it just the furthest point going forward and additional 36218 in the same vascular family only if you pull back the catheter?

Question ID : 19442
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