CPT Knowledgebase - Oct 18, 2013

The physician performs a bilateral selective subclavian angiogram with bilateral vertebral angiography and bilateral selective carotid angiography. He describes the catheter placement in both subclavian arteries and angiographic findings as: right and left subclavian arteries are unremarkable; vertebral arteries are patent. Because the catheter must go past the innominate on the right side into the subclavian, is it appropriate to also assign a second-order selective catheterization code (eg, 36216) in addition to code 36222 with modifier 50 appended for the carotids?

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