Ask Dr. Z

I've got a case in which the patient has multiple intracranial aneurysms: aneurysm in the distal left vertebral artery, a separate aneurysm in the mid basilar artery, as well as a separate aneurysm in the distal basilar artery. This totals three separate aneurysms. The physician performs coiling of each of these aneurysms. Would it be permissable to report code 61624 for each of embolizations of the prior addressed aneurysms? In your 2014 Vascular & Endovascular Surgery Coding Reference on page 259, it's indicated that intracranial aneurysm are coded per surgical field. Three surgical fields: right and left cerebral hemishperes and cerebellum. It's instruced to code per surgical field. However, in the CPT Assistant November 2006, Volume 16, Issue 11, it states (when reference 61624): "This code can be reported more than once for additional aneurysm treated at the same setting." Basically, I'm wanting your thoughts on this situation and to query where the information on page 259 of the ZHealth Publishing Vascular & Endovascular Surgery Coding Reference was obtained.