Vasospasm Treatment with Aneurysm Coiling

October 18, 2018

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

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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