rperez
New
My doctor performs coil embolizations then he writes 9 coil emolizations were done with angiograms. So he is coding the 61626 code once but he's coding 75894 then 75898 8 times. Is this correct?
My doctor performs coil embolizations then he writes 9 coil emolizations were done with angiograms. So he is coding the 61626 code once but he's coding 75894 then 75898 8 times. Is this correct?
Very unlikely. If there are mutliple (in this example there shold be 8) aneurysms/avm's that are clearly documented, each one distinctly embolized, then it is possible that you can bill for each separately (61626/75894/75898 for each). Again, I must stress that this is a very unlikely scenario.
So, based on one aneursysm/avm coiled (with 9 coils) the coding would be thus:
61626
75894
75898 If post treatment angiography was performed then 75898 should be coded but only once per site.
If this was for epistaxis and nine coils were placed, then the above codes would also apply, even if the treatment was bilateral.
You can also bill for the selective catheter placements (36215-36218)and any true diagnostic angiographies performed.
HTH
I have a case where an aneurysm coiling embolization was done. The diagnosis reads left ICA aneuysm. This is the only information I have. I called the surgeon's office, and they outsource their coding and their coders have not submitted the slip. I would code it with 61624 with an anesthesia code of 01926 and a diagnosis code 437.3. My co-workers pointed out code 61703 and 61705. The difference seems to be percutaneous versus open. How would you code this case with only the information I have provided? The difference in the anesthesia code base values is huge.