Cardiology Question for the Week of March 11, 2024

Question:

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.

Answer:

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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