I coded a patient for a cerebral arteriogram who had a meningioma. The exam was for blood flow to the tumor which consisted of Bilateral Common Carotids, Bilateral Internal Carotids, Bilateral External Carotids, and Bilateral Vertebrals. Ten days later, the patient has a embolization of the vessels feeding the tumor. The doctor again selects Bilateral Internal Carotids, Bilateral External Carotids, Bilateral Vertebrals with angiography. He then selects a branch of the right vertebral, extracrainial, and performs embolization on the meningioma. My question/ confirmation is that I do not bill for the second diagnostic angio, since the patient had a previous angio (10 days earlier), and code just for the embolization. Where can I get documentation (I'm blanking out on this) for not billing the second diagnostic angio in case I asked for the documentation?
Jim Pawloski, CIRCC, R.T. (CV)
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