CPT^® 61645, Under Cerebral Endovascular Therapeutic Interventions

The Current Procedural Terminology (CPT^®) code 61645 as maintained by American Medical Association, is a medical procedural code under the range - Cerebral Endovascular Therapeutic Interventions.

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Summary

Using fluoroscopy, live X–rays displayed on a video monitor, the provider inserts a catheter percutaneously (through a small incision in the skin) into an intracranial artery, a branch of the carotid artery, and removes a clot using a mechanical device and/or dissolves the clot by means of thrombolytic infusion. The procedure includes catheter placement, injection of thrombolytic medication, and diagnostic angiography (contrast–enhanced imaging of blood vessels).

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need help with thrombectomy

Tell your doctor not to unbundle his procedures. You bill 61645 and 36224-LT,59 for this procedure as catheter placement, angioplasty are included in 61645. The stent retriever is a thrombectomy devi... [ Read More ]

need help with thrombectomy

[TABLE] [TR] [TD][B][LEFT]Reason for angiogram: Acute stroke with middle cerebral artery M1 occlusion [/LEFT][/B] [LEFT][B]Brief history: [/B]Patient with major comorbidities and complications that i... [ Read More ]

need help with thrombectomy case

Cerebral Angiogram, Attempted Mechanical Thrombectomy

Have a neuro surgeon that does cerebral angiograms. Need help coding this procedure. Patient with known intracranial stenosis presented with right facial droop, hemiparesis & aphasia. A CT, CTA, & C... [ Read More ]

tPA admin via EVD catheter

Hello, My neurosurgeon is doing this and the codes I come up with are: 61120, 61781, and 61645. Can anyone tell me if I'm correct or maybe direct me to the correct codes? Second question would be if... [ Read More ]

37184 VS 61645 Thrombectomy

Good day, Just need some clarification for codes 37184 and 61645. CVNS state they are billing code 37184 for the Primary Percutaneous Transluminal Mechanical Thrombectomy. Auditor is stating 61645 i... [ Read More ]

Stumped on post aneurysm coiling stent placement...

I have a case that my provider performed that has me stumped...please help! History: Patient presents in September 2015 with aneurysmal SAH. Aneurysm is treated with coil embolization. Several month... [ Read More ]

bronchoscopy

i will take a shot. 31624 (BAL), 31627 ( TxbrBX) and I would want to know what was aspirated before I add 61645 & 31646... [ Read More ]

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