61645 Percutaneous artery m-thrombect and/or nfs
Also known as: mechanical thrombectomy, embolectomy
Percutaneous transluminal catheter-based mechanical thrombectomy of intracranial arterial occlusion with or without infusion.
In Plain Language
Removing blood clot from brain artery
Clinical Context
Primary therapy for acute ischemic stroke due to large vessel occlusion. Time-critical intervention within treatment window.
RVU Breakdown
| Work RVU | 14.63 |
| Total RVU | 14.63 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 14.63, this code ranks in the 72nd percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61645?
CPT 61645 (Percutaneous artery m-thrombect and/or nfs) is a Surgery code. Percutaneous transluminal catheter-based mechanical thrombectomy of intracranial arterial occlusion with or without infusion.
What is the wRVU value for CPT 61645?
The work RVU for CPT 61645 is 14.63. This code is primarily used by Interventional Radiology, Neurosurgery.
When is CPT 61645 used?
Primary therapy for acute ischemic stroke due to large vessel occlusion. Time-critical intervention within treatment window.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.