Wada test

prabha

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I usually get the following kind of report with header "WADA test".Can we code CPT 95958 with the interventional codes for this procedure?

Risks, benefits , alternatives and possible complications of the
procedure were explained to the patient who understood and
consented willingly. EEG monitoring was carried out
throughout the entire procedure.

The right groin was prepped and draped in the usual sterile
fashion. The right common femoral artery was accessed via single
wall puncture with a 21-gauge micropuncture needle. A 5-French
sheath was placed via this puncture site. A 5-French Berenstein
catheter was advanced into the aortic root. The left internal
carotid artery was then selected. Contrast injection with digital
imaging of the head and neck in the frontal and lateral
projections was performed. These images demonstrate patency of the
left internal carotid artery which is widely patent.
Intracranially, the anterior and middle cerebral arteries are well
opacified and appear normal. No primitive artery is seen to
opacify the vertebro-basilar arterial system. Sodium Amytal in
a total dose of 100 mg was injected into the left internal carotid
artery and right-sided motor weakness was noted.

Subsequently, the right internal carotid artery was catheterized
and angiography in the frontal and lateral projections was
performed. The right internal carotid artery is patent.
Intracranially, the anterior and middle cerebral arteries are
well opacified and appear normal. No primitive artery is seen to
opacify the vertebro-basilar arterial system. The capillary and
venous phases are unremarkable. A dose of Sodium Amytal 100 mg
was injected into the right internal carotid artery and left-sided
motor weakness was noted.
Approximately 15 minutes later, the patient fully recovered from
the effect of sodium amytal and left the angiography room in
stable condition.
 

Shirleybala

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I think we cant code WADA TEST , It was seperately done by neurologist

Any ideas about this..........
 

ValSue

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Codes in 2013

Chiming is waay late here, but the codes (for 2013) for this scenario would be 36224-50 and 95958. The radiologist bills the first code and the neurologist the second.
 
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