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Mesenteric Angiogram with Chemoembolization

Date: Dec 24, 2013

Question:

We are having a debate in between a couple of us and would like your opinion on this case. Patient comes in with hemochromatosis and hepatocellular carcinoma. MRI shows persistent nodular enhancement with in the right lobe medially. Right CFA approach. Cannulates the celiac, pic. Advances into two right hepatic branches, pic. Both are embolized. Moves to left hep, pic. Moves to right inferior phrenic artery off celiac, pic. Embloizes phrenic artery. The physician cannulates the accessory right hepatic off SMA, pic. We have codes 36246, 36248 x 3, 75726 x 2, 75774 x 5, and 37204/75894. The debate is... are we missing a 36247? And can we not bill code 75898 for follow-up from the embolization?

Question ID : 5310
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