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Vertebral Artery Directly from Aorta

Date: Jun 7, 2013

Question:

Physician selects left subclavian and performs angiography only to find that vertebral artery does not originate from the left subclavian. He changes to a SIMII catheter, catheterizes left vertebral artery, and performs complete angiography of cervical and cerebral portions of vertebral. Do we just charge for the vertebral angiography from a vertebral selection, or can we utilize both codes with a modifier?

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