Carotid body tumor embolization code

whitingm

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Carotid body tumor embolization was performed.
The ascending Pharyngeal artery Off The External carotid) was catherized and
embolization of feeder performed. We are sayinfg 61626 (extracranial) for procedure code.
Physician saying 61624 (intracranial)
Any thoughts would be welcome.
 

jmcpolin

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you know I have been looking at pictures online because I dont have my interventional purple book anymore and it is kind of iffy, some pictures show the external extending into the cranium and then some pics show the pharyngeal in the neck region.
 

dpeoples

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Carotid body tumor embolization was performed.
The ascending Pharyngeal artery Off The External carotid) was catherized and
embolization of feeder performed. We are sayinfg 61626 (extracranial) for procedure code.
Physician saying 61624 (intracranial)
Any thoughts would be welcome.
There are some unusual circumstances where the physician goes through the external carotid artery and subsequent vessels back into the intracranial arteries and would warrant the intracranial embolization code if performed (61624). However, the pharngeal artery is an extracranial artery and the correct embolization code for this would be 61626.

HTH :)
 

whitingm

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Cartotid Body tumor embolization

In this case the tumor is located at the carotid bifurcation and the ascending Pharyngeal
begins off the External carotid. If this was for an intracranial meningioma it would be
61624 intra but this really looks extracranial to me. Thanks for the expert thoughts.
Any more expert thoughts are appreciated :)
 
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