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Please note this question was answered in 2010. The coding advice may or may not be outdated.
Date: Feb 22, 2010
Question:
Dr Z, We have a case where there was a stenosis of the main hepatic artery treated with balloon angioplasty. Following this there was poor antegrade flow and a small amount of thrombus within the main hepatic artery. This was treated with intra-arterial TPA and Papaverine. Final injection showed excellent flow within the main hepatic artery with markedly improved perfusion of the liver. Our question is, does this constitute billing for a secondary thrombolysis (37186) along with the angioplasty codes? Thank you!
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