Q & A with Dr. Z: 61624 – CNS Embolization Right Internal Carotid Artery

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

Question: 61624 – CNS Embolization Right Internal Carotid Artery
I’m looking for clarification on the catheter placement for the above procedure. I understand a true diagnostic angio is separately billable, but somewhere along the line, I thought that when there is no diagnostic angio that the catheter placement is separately billable – 32617 for the artery being embolized, so in this case 61624, 36217, 75894, 75898. Is that correct or is the catheter placement inclusive?

You are correct. Catheter placements (36217, 36218) are separately reportable with a CNS embolization when a diagnostic study (36224 or 36228) is not done at the same session.


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About the Author

David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.

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