AHA Coding Clinic® for HCPCS - 2023 Issue 4; Ask the Editor

Mesenteric Arterial Mapping without Embolization

A patient with rectal cancer metastatic to the liver presented for mesenteric arteriography mapping for future Yttrium-90 microsphere radioembolization. Under moderate sedation, selective superior mesenteric and celiac artery arteriograms were performed. The proper hepatic artery was then selected and a selective arteriogram of the proper hepatic artery was performed. Then an intermittently occlusive infusion system microcatheter was utilized to complete selective arteriograms of the right hepatic artery, several of the right hepatic artery branches and to infuse contrast. An embolization was not performed. Since the embolization codes are inclusive of the roadmapping, and the mapping was performed for future embolization, is it appropriate for the facility to report CPT code 37243-52 in this case? How is the mesenteric arterial mapping reported? ...

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