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suction embolectomy vs thrombectomy

  1. Question suction embolectomy vs thrombectomy
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    Have a neuro that states he did suction embolectomy in the right MCA. NO ballon was used, so I don't think it is a thrombectomy. Any ideas on the code?

    Thanks, Penny

  2. #2
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    Quote Originally Posted by pscalici View Post
    Have a neuro that states he did suction embolectomy in the right MCA. NO ballon was used, so I don't think it is a thrombectomy. Any ideas on the code?

    Thanks, Penny

    Since it wasn't a thrombectomy (no thrombus) I would code as unlisted, 37799

    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. Default
    He says he clears the right MCA M1 segment and the anterior division. Additional embolus was seen in the posterior division.Resistent to further suction embolectomy. Is this still unlisted? It sounds like he is using suction to clear the clot?

  4. #4
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    Birmingham, Alabama
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    Quote Originally Posted by pscalici View Post
    He says he clears the right MCA M1 segment and the anterior division. Additional embolus was seen in the posterior division.Resistent to further suction embolectomy. Is this still unlisted? It sounds like he is using suction to clear the clot?
    The question is not the method (suction,snare, basket etc), the question is what was removed, embolus or thrombus? There is no specific code for embolectomy of intracranial ( Middle Cerebral) arteries thus an unlisted code is warranted IMO.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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