Patient with known cerebral aneurysm, has a four vessel arteriogram to determine if the aneurysm will be coiled or clipped. The patient has their aneurysm clipped, and a repeat 4 vessel arteriogram was performed on the same day. Same neurointerventional radiologist does both arteriograms. Question is do I code for the second arteriogram using Modifier -59 for the second set of arteriograms, even though the repeat arteriogram is not diagnostic?
Thanks,
Jim Pawloski, CIRCC
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2nd Arteriogram after aneurysm clipping