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Sclerotherapy for Lymphatic Malformations

Date: Feb 12, 2014

Question:

In the past, the coding recommendation for direct sclerotherapy/embolization of lymphatic malformations was to use unlisted codes. With the new embolization codes for 2014, would code 37241 be a possibility for these procedures? I looked at code 37244, but since that is referring to extravasation, it doesn't appear to match the intent of the sclerotherapy/embolization. Although code 37241 doesn't use the term "lymphatics", both the CPT Codebook and CPT Insiders refer to these embolization codes to be used when "arteries, veins, and lymphatics may all be the target of embolization". Would you recommend continuing to use the unlisted codes or using one of the 2014 codes?

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