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Cerebral angiogram & wada testing

  1. #1
    Default Cerebral angiogram & wada testing
    Medical Coding Books
    Our Neuro-physician & Neurologist are performing Cerebral Angiogram & Wada Testing together.


    CPT codes billed
    37202 75894 >Wada test portion
    36217>RICA
    36216>LICA
    S&I 75671

    Vessels treated w/ Medication:
    LICA (amytal sodium 100mg)
    RICA (amytal sodium 100mg)
    LICA (amytal sodium 75mg)

    Complete report:
    The diagnostic catheter was placed into the LICA and digital angiograms were obtained with rapid and sustained injections. 100mg of sodium amytal were injected intra-arterially and neuropsychological testing was perforemd before and after the amytal injection.

    After 30 minutes, the catheter was placed into the RICA, and multiple cerebral angiograms were obtained w/ rapid and slow injection. Neuropsychological testing was performed. After 100mg sodium amytal were injected intra-arterially, further neuropsychological testing was performed. The LICA was then re-catheterized and an additional 75mg of amytal sodium infused for futther neuropsychological testing. Ther patient remained under EEG serveillance throughout the entire procedure.

    Can anyone offer any experince/advise when coding for these type of procedures?

    Thanks
    Tawana.

  2. #2
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    Quote Originally Posted by TBAUSLEY View Post
    Our Neuro-physician & Neurologist are performing Cerebral Angiogram & Wada Testing together.


    CPT codes billed
    37202 75894 >Wada test portion
    36217>RICA
    36216>LICA
    S&I 75671

    Vessels treated w/ Medication:
    LICA (amytal sodium 100mg)
    RICA (amytal sodium 100mg)
    LICA (amytal sodium 75mg)

    Complete report:
    The diagnostic catheter was placed into the LICA and digital angiograms were obtained with rapid and sustained injections. 100mg of sodium amytal were injected intra-arterially and neuropsychological testing was perforemd before and after the amytal injection.

    After 30 minutes, the catheter was placed into the RICA, and multiple cerebral angiograms were obtained w/ rapid and slow injection. Neuropsychological testing was performed. After 100mg sodium amytal were injected intra-arterially, further neuropsychological testing was performed. The LICA was then re-catheterized and an additional 75mg of amytal sodium infused for futther neuropsychological testing. Ther patient remained under EEG serveillance throughout the entire procedure.

    Can anyone offer any experince/advise when coding for these type of procedures?

    Thanks
    Tawana.
    I agree with all codes except 75671. I do not see an interpetation of any diagnostic images taken.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. Default
    You can't charge 37202 75894. it is for therapuetic infusions only. The IR physician can only code for the catheter placements. the infusion of the drug is not billable because it is not treating anything. the neurologist will bill for the WADA testing with code 95958.

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