Cardiology Question for the Week of March 11, 2024


In 2024, what are the appropriate codes for mechanochemical ablation (MOCA) procedures performed under local anesthesia? Describe the process involved in these procedures and the key components of the treatment.


Codes 36473 and 36474 are reported for mechanochemical ablation (MOCA) performed using local anesthesia. These procedures involve the placement of a catheter-based device into the vein that infuses medication as well as mechanically disrupts the venous intima (lining of the wall of a vein).

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