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Radiology Coding Alert

You Be the Coder:

Challenge Yourself With IR Case Study

Published on Sat May 09, 2009

Question: Which CPT codes should I report for the following scenario? Right common femoral artery was used and a 5 French sheath inserted. I advanced an Omni-flush catheter into the distal aorta and performed an aortoiliac bifemoral angiogram. Then I passed a wire up and over into the left superficial femoral artery and brought a glide catheter over into the artery and performed a runoff from the SFA down to the feet. Iliac pictures taken on left with an Omni catheter and iliac pictures on right taken through a 5 French sheath. Right leg runoff taken through 5 French sheath. Utah Subscriber Answer: Code 36247 (Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family) covers selective cath placement into the left superficial femoral artery (SFA) from the contralateral right approach. There is no separate payment for the [...]
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