Thrombectomy and Follow-Up Angiogram Coding

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Question:

We billed percutaneous thrombectomy (37184) for extraction of a clot and an associated completion angiogram (75898). Payors keep denying the angiogram. Is there a way to get this paid?

Answer:

Per CPT, percutaneous thrombectomy, 37184, includes all fluoroscopic guidance, including completion angiograms. Therefore, 75898 should not be separately reported.