Vasospasm Treatment with Aneurysm Coiling

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October 18, 2018

Question:
Can you bill for treatment of vasospasm (61650) when also treating the same vascular territory you are doing an aneurysm coiling?

Answer:
It depends on why the vasospasm occurred and the length of time the medication was delivered.  If the vasospasm was an intraoperative complication and a bolus of medication was delivered, then it is included in the aneurysm coiling code (61624) and not separately reported with 61650. If, however, the vasospasm was due to a separate disease process (e.g., subarachnoid hemorrhage) and the delivery of medication occurred in a time period of 10 minutes or greater, then 61650 may be separately reported.  Be sure the documentation supports both services.

*This response is based on the best information available as of 10/18/18.

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