2025 CPT code 61624
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Transcatheter permanent occlusion or embolization of a central nervous system artery (intracranial, spinal cord).
Modifiers may be applicable. Refer to current CPT coding guidelines.
Medical necessity is established by demonstrating that the procedure is necessary to treat a life-threatening or debilitating condition affecting the central nervous system.This may include conditions like aneurysms, AVMs, tumors, or uncontrolled bleeding.
The provider preps and anesthetizes the patient, places a guide wire at the site, advances an angiography catheter for angiography, then advances an embolization/occlusion catheter and injects an embolizing medium under fluoroscopic guidance.
In simple words: This procedure involves closing off a blood vessel in the brain or spinal cord through a small tube inserted into the skin.This is done to treat conditions like vascular malformations, tumors, or bleeding.
Transcatheter permanent occlusion or embolization (e.g., for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord)
Example 1: A patient presents with an intracranial aneurysm. The physician performs a transcatheter embolization to prevent rupture., A patient has a spinal cord arteriovenous malformation (AVM) causing neurological symptoms. A transcatheter embolization is performed to occlude the AVM and reduce blood flow to the affected area., A patient with a brain tumor undergoes a transcatheter embolization to block blood supply to the tumor before surgical resection, reducing the risk of bleeding during surgery.
Documentation should include details of the procedure, including the type of embolic agent used, the target vessel, fluoroscopic guidance details, pre- and post-procedure angiographic findings, and any complications. Medical necessity should be clearly documented, linking the procedure to the patient's diagnosis and symptoms.
** As of December 1st, 2024, this information is current.However, medical coding guidelines and regulations are subject to change. Always verify coding information with the latest resources before submitting claims.
- Payment Status: Active
- Specialties:Neurosurgery, Interventional Radiology, Neuroradiology, Endovascular surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center