Diagnostic renal angiogram

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Clermont, FL
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Pnt with know 70% renal stenosis and accelerated hypertension. Pnt brought to cath lab and renal angiogram and stent placed. Per Dr. Z if the angiogram is a guiding shot a angiogram is not charged but if diagnostic it can be.

I queried the physician and his response was: When I brought the patient in a better picture was taken that showed 85%, Would you consider this as a diagnostic?
 

suchang78

Networker
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Pnt with know 70% renal stenosis and accelerated hypertension. Pnt brought to cath lab and renal angiogram and stent placed. Per Dr. Z if the angiogram is a guiding shot a angiogram is not charged but if diagnostic it can be.

I queried the physician and his response was: When I brought the patient in a better picture was taken that showed 85%, Would you consider this as a diagnostic?
Per the description of CPT 37236 " including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed".
 

Jim Pawloski

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I agree with Su, the doctor already knows that there is a stenosis. IMO, that was a guiding shot or used to measure size of stent to be used which is bundled.

Thanks,
Jim Pawloski, CIRCC
 
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