Question:

The physician documented six follow-up angiograms during an embolization. How many may we report?

Answer:

For intracranial embolizations (61624), you can code each follow-up done and documented. How much insurance will pay is up to their policy. We have coded six or more follow-ups many times. Sometimes, particularly with AVM, they may do a follow-up after every coil. If documented, you can code each of these. For extracranial head and neck embolization (61626), you can only report one follow-up exam regardless of how many are done. With body embolization (37241–37244), all follow-ups are included in the base procedure code and not paid separately.

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