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Wada test

  1. Default Wada test
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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.
    Prabha CPC

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

    Any ideas about this..........

  3. Smile 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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