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AVM Embolization Using Two Different Methods

Date: Jun 18, 2013

Question:

The physician performs embolization of an AVM by catheter-directed insertion of coils, glue, etc. He then performs additional embolization using a direct stick technique under ultrasound and fluoroscopic guidance on the same AVM. Should we be coding this with both codes 37204 and 37799? Or would the direct stick embolization be included in code 37204? Are the fluoroscopy and US guidance codes both assigned either with or without code 37799?

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