claning
Networker
Good Morning Coders 
I have a procedure I have not coded before and need help. The patient had Direct Puncture Sclerotherapy (3 injections) of the nasal/pharyngeal area for venous malformation, see partial report:
An ENT retractor was placed for the procedure. Endoscopes
were used to visualize the extent of the vascular lesion
involving the nasal/oropharynx. Once this was done, a
total of 3 micropuncture needles were placed into the
vascular malformation at various locations. There was no
significant bleeding. Subsequently, each needle was
injected with contrast dye to insure proper position within
the vascular malformation. Direct-puncture sclerotherapy
was then performed using 2% Ethamolin. The sclerosing
agent was mixed in a 50:50 solution with contrast dye for
visualization. Approximately 4 ml of Ethamolin was
injected under fluoroscopic guidance.
I am leaning towards 36470 (per SIR, AMA not just for leg). Would that be billed x3? Or an unlisted coded? Any other codes?
Thank you for your input!
carol
I have a procedure I have not coded before and need help. The patient had Direct Puncture Sclerotherapy (3 injections) of the nasal/pharyngeal area for venous malformation, see partial report:
An ENT retractor was placed for the procedure. Endoscopes
were used to visualize the extent of the vascular lesion
involving the nasal/oropharynx. Once this was done, a
total of 3 micropuncture needles were placed into the
vascular malformation at various locations. There was no
significant bleeding. Subsequently, each needle was
injected with contrast dye to insure proper position within
the vascular malformation. Direct-puncture sclerotherapy
was then performed using 2% Ethamolin. The sclerosing
agent was mixed in a 50:50 solution with contrast dye for
visualization. Approximately 4 ml of Ethamolin was
injected under fluoroscopic guidance.
I am leaning towards 36470 (per SIR, AMA not just for leg). Would that be billed x3? Or an unlisted coded? Any other codes?
Thank you for your input!
carol
