pamelakeen
New
Good day, Just need some clarification for codes 37184 and 61645.
CVNS state they are billing code 37184 for the Primary Percutaneous Transluminal Mechanical Thrombectomy.
Auditor is stating 61645 is the true code that they should be billing for.
INFO:
The right common femoral artery was accessed using a micropuncture set and a 8 FR Pinnacle sheath was placed over the J wire with a modified Seldinger technique, flushed and then connected to a regulated pressurized heparinized saline infusion.
The Flogate was then introduced into the descending thoracic aorta over the 035 Glidewire and diagnostic catheter under visualization. Next the diagnostic catheter and glide were introduced into the Flogate and were advanced into the Left common carotid artery. The Flogate was then advanced over the diagnostic catheter and then diagnostic catheter and glide were removed. Subsequent run showed left middle cerebral artery occlusion, and there is also evidence of sub occlusive thrombus at the proximal aspect of the left internal carotid artery without any clear vessel wall damage or athero disease. The guide catheter balloon was insufflated and using a large of vacuum lock syringe, we aspirated through the guide catheter. Multiple thrombi were removed under aspiration, we continued aspirated until the catheter was clear.
Which code 61645 or 37184?
Thank you in advance for any information to help me with both sides.
CVNS state they are billing code 37184 for the Primary Percutaneous Transluminal Mechanical Thrombectomy.
Auditor is stating 61645 is the true code that they should be billing for.
INFO:
The right common femoral artery was accessed using a micropuncture set and a 8 FR Pinnacle sheath was placed over the J wire with a modified Seldinger technique, flushed and then connected to a regulated pressurized heparinized saline infusion.
The Flogate was then introduced into the descending thoracic aorta over the 035 Glidewire and diagnostic catheter under visualization. Next the diagnostic catheter and glide were introduced into the Flogate and were advanced into the Left common carotid artery. The Flogate was then advanced over the diagnostic catheter and then diagnostic catheter and glide were removed. Subsequent run showed left middle cerebral artery occlusion, and there is also evidence of sub occlusive thrombus at the proximal aspect of the left internal carotid artery without any clear vessel wall damage or athero disease. The guide catheter balloon was insufflated and using a large of vacuum lock syringe, we aspirated through the guide catheter. Multiple thrombi were removed under aspiration, we continued aspirated until the catheter was clear.
Which code 61645 or 37184?
Thank you in advance for any information to help me with both sides.