61650 Evasc prlng admn prescription agnt first
Also known as: intraarterial thrombolysis, intra-arterial tPA
Percutaneous transluminal infusion of thrombolytic or fibrinolytic agent for initial treatment of intracranial arterial occlusion.
In Plain Language
Injecting clot-busting medication into brain vessel
Clinical Context
Treatment for acute ischemic stroke. Often used adjunctively with mechanical thrombectomy in endovascular therapy.
RVU Breakdown
| Work RVU | 9.75 |
| Total RVU | 9.75 |
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 9.75, this code ranks in the 58th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61650?
CPT 61650 (Evasc prlng admn prescription agnt first) is a Surgery code. Percutaneous transluminal infusion of thrombolytic or fibrinolytic agent for initial treatment of intracranial arterial occlusion.
What is the wRVU value for CPT 61650?
The work RVU for CPT 61650 is 9.75. This code is primarily used by Interventional Radiology, Neurosurgery.
When is CPT 61650 used?
Treatment for acute ischemic stroke. Often used adjunctively with mechanical thrombectomy in endovascular therapy.
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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.