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TIPS and Variceal Sclerosis

Date: Dec 16, 2013

Question:

I have a report for a TIPS with variceal sclerosis, for a patient with cirrhosis and GI bleeding. I know the TIPS is reported with code 37182... and a coil embolization was done on the gastric varices, so I would use codes 37204, 75894, and 75898. Do I code the sclerosant solution that was injected into the varix also, or is that part of the embolization? If it is coded separately would the unlisted codes be used like with the venous malformations of the head and neck? Or is it a different code?

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