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Diagnostic Angiogram with Thrombectomy and Stent

Date: Dec 31, 2014

Question:

Is it appropriate to charge the cerebral diagnostic angio (no prior study) when a planned thrombectomy is done that resulted in the need for a stent by applying modifier -59, as the ipsilateral study is bundled with the stent? But in the case where the stent is not a planned event, can modifier -59 be used?

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