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CPT® 36228, Under Diagnostic Studies of Cervicocerebral Arteries

The Current Procedural Terminology (CPT®) code 36228 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Studies of Cervicocerebral Arteries.

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Summary

In this add on procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting catheter in additional branches of the intracranial subdivisions of the internal carotid or vertebral arteries. He performs angiography of circulation of the middle cerebral artery and posterior inferior cerebellar artery during the same session that he places a catheter and performs angiography of the internal carotid or common carotid artery.

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Please, I need help! Thank you Physician codes are 36225-RT, 36223-59-50, 36226-LT. Should I add 36228 to 36223? [B]Selective catheterization, right subclavian artery, cerebral angiography angiogr... [ Read More ]
need help with thrombectomy
[TABLE] [TR] [TD][B][LEFT]Reason for angiogram: Acute stroke with middle cerebral artery M1 occlusion [/LEFT][/B] [LEFT][B]Brief history: [/B]Patient with major comorbidities and complications that i... [ Read More ]
need help with thrombectomy case
[TABLE] [TR] [TD][B][LEFT]Reason for angiogram: Acute stroke with middle cerebral artery M1 occlusion [/LEFT][/B] [LEFT][B]Brief history: [/B]Patient with major comorbidities and complications that i... [ Read More ]
need help understanding and coding this carotids procedure for facility please
Middle cerebral was not selected, so do not bill 36228. External Carotid is outside the brain.... [ Read More ]
need help understanding and coding this carotids procedure for facility please
forgot to ask can I add 36228-50 since he mentioned middle cerebral artery - I believe its one of the branch. and also I am not sure when to add 36227? isn't external carotid part of intracranial? wh... [ Read More ]
need help understanding and coding this carotids procedure for facility please
Awesome questions. This case would be coded as follows 36224-50, 36226-50. 1). No we would not code 75710-XS,RT As the femoral arteriogram was not truly diagnostic in nature, nor did the physician e... [ Read More ]
Embolization with coils balloon and stent dpeoples jim pawloski senthil05
Hi I'm looking for some guidance for coding the following procedure. Any help would be greatly appreciated :) * INDICATION: 57 y.o. female with multiple cerebral aneurysms * COMPARISON: CTA perfor... [ Read More ]
How to read "include" and "exclude" in the book
I'm taking exam and learning to go in depth on reading the CPT book. 36100-36218 INCLUDES introduction of catheter and cath of all lesser order vessels used for approach local anest... [ Read More ]
Catheter vs Sheath Placement
I do not determine vessel selectivity based off of anything other than catheter location due to the fact that codes 36215-36218, 36245-36248, and even the cerebral angiogram codes 36222-36228 specific... [ Read More ]
Do you agree with my Codes??? Provider doesn't
[QUOTE="christoff9, post: 435560, member: 72487"]Under roadmap imaging after double flushing, the Envoy catheter was advanced into the proximal cervical right internal carotid artery where it was used... [ Read More ]
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