AHA Coding Clinic® for ICD-9 - 2013 Issue 2; Ask the Editor

Hepatic Artery Embolization

A patient is diagnosed with abdominal bleeding from the liver. The patient was seen in interventional radiology to find and embolize the bleeder. The right common femoral artery was accessed with micropuncture needle. A hepatic artery angiogram was performed. The left hepatic artery was then selected using a microcatheter, and bead block microspheres were injected to embolize the artery. The provider’s documentation indicates successful embolization of the hepatic artery. What is the correct procedure code assignment for embolization of hepatic artery to control bleeding, using bead block microspheres? What would be the correct code assignment if provider documentation indicated embolization using gelfoam? ...

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