AHA Coding Clinic® for ICD-9 - 2010 Issue 3; Ask the Editor

Angioplasty of Intracranial Vessel versus Extracranial Vessel

When coding an angioplasty of the basilar artery, ICD-9-CM’s Index to Procedures leads to code 00.61, Percutaneous angioplasty or atherectomy of precerebral (extracranial) vessel(s). However, our Interventional Radiologists state that the basilar artery is not a precerebral (extracranial) vessel but an intracranial vessel. Please provide clarification as to the correct procedure code assignment for angioplasty of the basilar artery. ...

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