Basics about Cpt code for Coil Embolization
Coil Embolization procedures are done to stop hemorrhage, to stop growth of tumors, varicocele or any congenital or acquired venous malformations. Cpt Code for Coil Embolization has changed last year with introduction of new codes which are totally based on the site and diagnosis. Their are new CPT code changes in 2016 which are mostly bundled codes. The codes for coil embolization includes all the minor procedure included with them like supervision and interpretation, imaging guidance CPT codes and other services required for the intervention. The CPT codes for coil embolization are basically divided on the basis of three major diagnosis hemorrhage, tumors and malformation. Lets learn about how to use coil embolization procedure code with few examples.
Basic procedure for CPT code for Coil Embolization
Embolization is performed to block an artery or vein. In this procedure, the catheter are introduced like placing a tunneled or non-tunneled central venous catheter. So, to treat a hemorrhage from an artery or vein, the blood vessel is blocked using beads, coil or any other device. So, to treat a blood vessel a needle is inserted into a blood vessel through the skin. A guide wire is inserted along the needle and the needle is removed. Then a catheter is guided over the guide wire to treat the blood vessel. The guide wire is removed. The catheter then treats the blood vessel through blood vessel blocking device. Angiography can be taken to know about the progress of the exam. Angiography procedure codes should be coded in surgery if performed with this exam. This is the basic procedure performed during coil embolization.
Cpt Code for Coil Embolization for Varicocele
Varicocele is an abnormal enlargement of a network of veins in the scrotum. If the patient comes with a diagnosis of varicocele, we have separate CPT Code for coil embolization of varicocele. The CPT code for treating varicocele through embolization is 37241. CPT code 37241 involves embolization on vein for the treatment other than hemorrhage which includes Varicocele as well. This CPT code 37241 is used only for the venous related diagnosis. If you are clear with concept in coding embolization you can become a perfect surgery coder.
37241- Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)
Cpt Code for Coil Embolization for splenic artery
The splenic artery is a present in abdominal region. If any condition like aneurysm, fistula or malformation other than hemorrhage is treated with embolization we have to use 37242 CPT code. This code is used only for artery related diagnosis except hemorrhage.
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37242- Vascular embolization, inclusive of all radiological supervision and interpretation, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformation, arteriovenous malformation, arteriovenous fistulas, aneurysms, psuedoaneurysms)
Cpt Code for Coil Embolization for Arterial or Venous hemorrhage
In this situation the hemorrhage is considered as the main diagnosis for embolization treatment. Hence a patient with arterial or venous hemorrhage should be coded as 37244 for coil embolization treatment. The CPT code 37244 is used across all the hemorrhage except for nervous system, for arteries and veins.
37244- Vascular embolization, inclusive of all radiological supervision and interpretation, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage
Cpt Code for Coil Embolization for tumors, ischemia and infarction
Patient with diagnosis of tumors, ischemia and infarction have a separate CPT code when treated with embolization. The CPT code 37243 is used to code when the embolization is performed for tumors, ischemia and infarction. So, check for the diagnosis whenever we are coding an embolization codes along with blood vessel, artery or vein, to code a correct CPT code.
37243- Vascular embolization, inclusive of all radiological supervision and interpretation, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction)
Cpt Code for Coil embolization for Central Nervous System
There are two CPT Codes used especially for the embolization procedures performed in the Central Nervous System and Non-Central Nervous System. The central nervous system includes the intracranial region & spinal cord. The Non-Central Nervous System includes blood vessel in the head or neck region (common carotid, external carotid, vertebral and their branches). We have already seen how a stent is placed in carotid artery and innominate artery, which is also a complex procedure.Here, we just have to code depending on the artery or vein being treated percutaneously for embolization, that particular region will lead to correct CPT code.
61626- Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic branch)
61624- Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord)
Hope, this article helps you how to learn more about coding coil embolization procedure codes and which will eventually help you to self prepare for coding certification exam. I you liked the article do share it.