tci General Surgery Coding Alert - 2002 Issue 1

Reader Question: Diagnostic Arteriogram

Question: The patient has a diagnostic arteriogram followed by balloon angioplasty of the right superficial femoral artery (SFA) with stent placement. Can I code for the arteriogram?Nebraska Subscriber  Answer: The diagnostic arteriogram is payable because it determined the need for the other procedures. Depending on how the SFA was accessed, the appropriate catheter placement code should be billed, in addition to the related supervision and interpretation radiology code. If the catheter puncture was ipsilateral to the SFA (on the same side of the body), 36245 (selective catheter placement, arterial system; each first order abdominal, pelvic, or...

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