Tgainer
New
A patient with an internal carotid artery aneurysm , had stent placed , approx 4 weeks later will be the coiling of the aneurysm. Which cpt code is correct for the stent placement 61635 or 37205 ?
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Wiki Stent placement - A patient with an internal
- Thread starter Tgainer
- Start date
lisammy
Guru
I would have to agree with the 61635 code.
Jim Pawloski
True Blue
You may want to check on this, but I think I read somewhere that on a stent assisted aneurysm coiling that the stent is either bundled, or as a staged procedure.
HTH,
Jim Pawloski, R.T. (CV), CIRCC
HTH,
Jim Pawloski, R.T. (CV), CIRCC
dpeoples
True Blue
If this stent is being placed to facilitate the coiling (embolization) of the internal carotid (not intracranial) aneurysm, it is included with the embolization. The difference here is the time frame, 4 weeks is a long time to wait to complete a procedure. In this case, the only code(s) I would consider is(are) 37215 or 37216 depending on the use (documented) of an embolic protection device. You would likely not be paid for 37216. Also, these codes include all catheter placement and diagnostic angiography. So, I would probably not code for the stent, and would code for the diagnostic tests.
When the patient returns for the coil placements, the codes would be 61624/75894 plus the catheter placement code and f/u angiography. I would not code for a diagnostic angiography during coil placement.
HTH