tci General Surgery Coding Alert - 2016 Issue 12

Reader Question: Bundle RS&I With UFE

Question: Our surgeon performed a diagnostic CT angiography with contrast for a patient with suspected fibroids, followed by a UFE to treat the condition by cutting off arterial blood flow to the tumor. How should we code this case? Texas Subscriber Answer: You should report the diagnostic imaging study as 74174 (Computed tomographic angiography, abdomen and pelvis, with contrast material[s], including noncontrast images, if performed, and image postprocessing). You should bill the Uterine Fibroid Embolization (UFE) as 37243 (Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention...

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