CPT^® 61650, Under Cerebral Endovascular Therapeutic Interventions

The Current Procedural Terminology (CPT^®) code 61650 as maintained by American Medical Association, is a medical procedural code under the range - Cerebral Endovascular Therapeutic Interventions.

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Summary

The provider uses imaging guidance (live, real–time images projected on a video monitor) to place a catheter into an artery (endovascular) inside the skull (intracranial) for long–term administration of a drug that is not a thrombolytic (clot–dissolving) drug. He performs contrast–enhanced imaging of the vascular structures (diagnostic angiography). This code covers access for the first or initial artery.

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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

need help with carotid stent and intracrainal balloon angioplasty

I came up with 37215 and 76937. 37211 is for long term thrombolysis (usually overnight), 61650 is used for vasospasm- not documented, 61630 is for intracrainal stenosis - not documented and part of ca... [ Read More ]

need help with carotid stent and intracrainal balloon angioplasty

Indications ... [ Read More ]

i am new to neuro procedures need help

Look at CPT 61650 and 61651--CPT manual provides specific details regarding proper use of the codes--as well as explains what is considered "prolonged administration" in order to report. Hopefully tho... [ Read More ]

61650/61651 denied as inpatient only codes

I rec'd a denial because 61650/61651 was performed as an outpatient procedure and the insurance company is stating this should only be performed as an inpatient service. The global period in CMS websi... [ Read More ]

Neuroendovascular coding dilemma

I'm new to coding NS and CV and I'm scratching my head with the code selection for the OP note below. We coded it as; 36224-50 36228-LT 61630 61650 61651 I'm getting stuck in edits due to 36224,3622... [ Read More ]

Endovascular treatement with chemo

I have a provider that is wanting to bill for an chemo during an angiogram. The code we have selected is 96422 along with our typical angiogram codes, 36228 and 61650. However, the insurance is stat... [ Read More ]

Help! Attempted neuro-embolization....

[QUOTE="s_harris14, post: 384442, member: 269946"]Patient was brought in for planned Balloon Test Occlusion & Possible Embolization of a meningioma prior to surgical resection. I've condensed the note... [ Read More ]

Help! Attempted neuro-embolization....

Patient was brought in for planned Balloon Test Occlusion & Possible Embolization of a meningioma prior to surgical resection. I've condensed the note to only highlight the procedural work: Diagnost... [ Read More ]

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