Results 1 to 3 of 3

IR Question

  1. #1
    Default IR Question
    Medical Coding Books
    I am taking the RCC exam on Oct. 19th. Here is the example that I am looking at:

    Access: right common femoral

    Catheter advanced to RCC, contrast injected for imaging of RCC, RIC. Catheter advanced to the R vertebral for injection and imaging. Catheter advanced into the LCC, contrast injected for imaging of LCC, LIC. Catheter advanced to the L vertebral with injection and imaging.

    The answers given for this scenario are as follows:

    36216 RCC
    36218 R Vertebral
    36215-59 LCC
    36215-59 L Vertebral
    75671 LIC and RIC
    75680 LCC and RCC
    75685-LT vertebral
    75685-RT vertebral

    My question is how does the L vertebral become a 36215 since it is off the subclavian? This is where I get confused with the interventional angiography codes.

    Can someone help?!


  2. Default IR coding
    If the cath. placement into the left vertebral is from the subclavian, it should be a 36216. However, if there is a documented variant anatomy, and the cath placement into the left vertebral is directly from the aortic arch, then you would use a 36215.

  3. #3
    This is really confusing unless there is severe variant anatomy...RCC and Rt Vert would be coded 36217 for rt vert (highest order in the rt brachiocephalic family) and then 36218 for the rt common carotid since it is a lesser order.

    Good luck on your test! I took the CIRCC today so I know how you feel.


Similar Threads

  1. ROS Question and Exam Bullet Question
    By Stefanie in forum Auditing General Discussion
    Replies: 1
    Last Post: 05-21-2010, 04:04 PM
  2. Replies: 5
    Last Post: 10-13-2008, 07:55 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.