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Code 37243 with 36245

Date: Apr 17, 2014

Question:

The below SIR-Sphere procedure was reported with codes 37243, 36247, and 36245.  Should modifier -59 be added to codes 36247 and 36245?

PROCEDURES PERFORMED: 1) Celiac arteriogram. 2) Superior mesenteric arteriogram. 3) Selection of the replaced accessory hepatic artery with arteriogram. 4) Yttrium-90 SIR-Spheres radioembolization delivered via the replaced accessory right hepatic artery by operating IR in conjunction with the authorized user supervising the procedure. 5) Post embolization arteriogram of the replaced accessory right hepatic artery. 6) Fluoroscopic guidance for the above.

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