R Subclavian artery angio

[MWatkins858]

The Doc is performing a R Subclavian angio to check for stenosis after pt had an abnormal doppler. Would that be:

36216/75710 or 36225

Thanks for your help!

 

[j.monday7814]

depends on what was visualized. did he selectively engage the right subclavian and only image that artery? if the vertebral wasn't imaged and/or was not the point of the study then 36225 wouldn't be appropriate. if he was looking at stenosis in the right subclavian (especially if it was proximal) then I would expect him to engage the innominate or even stay in the aortic arch to inject dye and watch the runoff through the subclavian

 

[MWatkins858]

He is just going to be looking at the right Subclavian.

 

[j.monday7814]

where was the catheter placed during the injection and was it advanced any further than that after the injection?

 

[dpeoples]

The Doc is performing a R Subclavian angio to check for stenosis after pt had an abnormal doppler. Would that be:

36216/75710 or 36225

Thanks for your help!

Was the abnormal dopplar study of the extremity, or the neck?

 

[jwiles66]

Cpt code 36225 would be correct if it was the subclavian, but were any stents placed?

 

[j.monday7814]

Cpt code 36225 would be correct if it was the subclavian, but were any stents placed?

no, 36225 would not be correct unless the vertebral artery was visualized and the OP did not mention that. They said only the subclavian was visualized. We really aren't getting enough information from them to code this accurately.