Arterial Map of the Thorax, Abdomen and Pelvis Angiography 75605 (-26) Aortography, thoracic 75625 (-26) Aortography, abdominal by serialography 75630 (-26) Aortography, abdominal + bilat iliofemoral 75705 (-26) Spinal, selective 75726 (-26) Visceral, selective (w/ flush aortogram) 75736 (-26) Pelvic, selective +75774 (-26) Selective, each additional vessel Renal Arteriogram* Selective Superselective Unilateral 36251 36253 Bilateral 36252 36254 *Includes catheterization and imaging. Runoff Study single catheter placement -36200-75630 multiple catheter placement (abdominal aorta and at or just above bifurcation) -36200-75625 -75716 Pelvis 75736 selective and unilateral; if bilateral pelvic vessels are selectively catheterized and studied, use 75736 A nonselective pelvic study is assigned code 75630 or 75716, depending on the physician dictation of vessels studied. All rights reserved. No part of this job aid may be reproduced in any form whatsoever without written permission from the publisher. This job aid reflects coding information from the 2017 Physicians Current Procedural Terminology CPT manual. This is not to be used in place of the CPT manual. CPT is a registered trademark of the American Medical Association. CPT five digit codes, nomenclature and other data are Copyright 2016 AMA.. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for the data contained herein or not contained herein. More resources available at www.codingstrategies.com
Selective Arterial Codes Angiography 75625 Aortography, abdominal 75630 Aortography, abdominal + bilat iliofemoral 75658 Brachial, retrograde 75710 Extremities, unilateral 75716 Extremities, bilateral 75726 Visceral, selective or suprasel (w/ flush) 75736 Pelvic, selective or supraselective +75774 Selective, each additional vessel
Venous and Portal Systems Internal Jugular Vein () Rt External Jugular Vein () Lt External Jugular Vein () Rt Subclavian Vein () Lt Subclavian Vein () Rt Brachiocephalic Vein (36011) Lt Brachiocephalic Vein (36011) Middle Hepatic Vein (36011) Rt Hepatic Vein (36011) Rt Adrenal Vein (36011) Lt Hepatic Vein (36011) Lt Adrenal Vein () Imaging Jugular - 75860 Hepatic - 75889 - w/pressures 75891 - w/o Pressures Adrenals - 75840/75842 Renals - 75831/75833 Extremities - 75820/75822 Rt Renal Vein (36011) Lt Renal Vein (36011) Rt Renal Vein Branches () Lt Renal Vein Branches () Rt Gonadal Vein (36011) Lt Gonadal Vein () Rt Common Iliac Vein (36005) Lt Common Iliac Vein (36011) Rt External Iliac Vein (36005) Lt External Iliac Vein () Rt Internal Iliac Vein (36011) Lt Internal Iliac Vein () Selective Catheter Placement 36011 1 st order 2 nd order or more selective branch Non-Selective Catheter Placement 36010 Superior or inferior vena cava 36005 Injection for extremity venography Note: No 3 rd order exists, assign as needed S&I Codes 75820 Extremity, unilateral 75822 Extremity, bilateral 75825 Caval, inferior 75827 Caval, superior 75831 Renal, unilateral, selective 75833 Renal, bilateral, selective 75840 Adrenal, unilateral, selective 75842 Adrenal, bilateral, selective 75860 Sinus or jugular, catheter 75870 Superior sagittal sinus 75872 Epidural 75880 Orbital 75885 Portography with hemodynamic evaluation 75887 Portography without hemodynamic evaluation 75889 Hepatic venography, with hemodynamic evaluation 75891 Hepatic venography, without hemodynamic evaluation 37182 TIPS insertion 37183 TIPS revision
Venous System Inferior Vena Cava 36010 Rt Common Iliac 36005 Lt Internal Iliac Lt Common Iliac 36011 Lt External Iliac Lt Common Femoral Lt Profunda Femoral Great Saphenous Femoral Popliteal Small Saphenous Anterior Tibial Superior Sagittal Sinus (75870) Superficial Temporal Vein Angular Vein Posterior Tibial Occipital Vein Sinus or jugular (75860) External Jugular Vein Facial Vein Right Subclavian Vein Anterior Jugular Vein Interior Jugular Vein Right Innominate Vein Superior Vena Cava Central Venous Catheters Centrally Inserted Peripherally Inserted Non- Tunneled no port/pump Tunneled w/o port/pump w/port w/ pump (PICC) w/port Insertion (<5 yrs) 36555 36557 36560 n/a 36568 36570 Insertion (>5 yrs) 36556 36558 (1 access) 36561 (1 access) 36565 (2 accesses) 36566 (2 accesses) 36563 36569 36571 Repair 36575 36575 36576 n/a 36575 36576 Replacement (cath only) n/a n/a 36578 36578 n/a 36578 Replacement (complete) Through same access 36580 36581 36582 36583 36584 36585 Removal 36589 36590 36590 36590 Guidance Fluoroscopic guidance 77001 Ultrasound guidance 76937 Device/Catheter Declot 36593 Declotting by thrombolytic agent Repositioning 36597/76000 Repositioning of previously placed central venous catheter Contrast Injection Only 36598 Contrast injection(s) for radiologic evaluation of existing CV access device 36596/75902 Mechanical removal of obstructive material through device lumen Catheter Stripping 36595/75901 Mechanical removal of obstructive material separate venous access
Transcatheter Procedures ILIAC REVASCULARIZATION Each Add l Vessel Initial Vessel Common iliac, internal iliac, external iliac (Max 2) Angioplasty only 37220 +37222 Stent placement (with or without angioplasty) 37221 +37223 FEMORAL/POPLITEAL REVASCULARIZATION One vessel Code Angioplasty only 37224 Atherectomy (with or without angioplasty) 37225 Stent placement (with or without angioplasty) 37226 Stent placement and Atherectomy (with or without angioplasty) 37227 TIBIAL/PERONEAL REVASCULARIZATION Each Add l Vessel Initial Vessel Anterior tibial, posterior tibial, peroneal (Max 2) Angioplasty only 37228 +37232 Atherectomy (with or without angioplasty) 37229 +37233 Stent placement (with or without angioplasty) 37230 +37234 Stent placement and Atherectomy (with or without angioplasty) 37231 +37235 Revascularization codes include catheterization and S&I to accomplish the procedure. Code diagnostic angiograms separately (S&I only) if they meet CPT guidelines. Assign only one revascularization code per vessel. Code left and right extremities separately. Angioplasty (Do not use for lower extremity occlusive disease) (Includes S&I) 37246 Initial artery +37247 Each additional artery 37248 Initial vein +37249 Each additional vein Stent Placement (Do not use for lower extremity occlusive disease) (Includes angioplasty and S&I) 37236 Initial artery +37237 Each additional artery 37238 Initial vein +37239 Each additional vein 37215 Cervical carotid artery stent placement with embolic protection 37216 Without embolic protection 37218 Antegrade common carotid or innominate stent placement 0075T Extracranial vertebral artery, initial vessel +0076T Each additional vessel Mechanical Thrombectomy 37184 Primary arterial mechanical thrombectomy, initial vessel +37185 Additional vessel(s) within same vascular family +37186 Secondary arterial mechanical thrombectomy 37187 Venous mechanical thrombectomy 37188 Repeat venous thrombectomy on subsequent day during thrombolysis
Transcatheter Procedures Embolization Report embolization once per surgical field 37241 Venous, other than hemorrhage (includes RS&I) 37242 Arterial, other than hemorrhage or tumor (includes RS&I) 37243 For tumor, organ ischemia, or infarction (includes RS&I) 37244 For arterial or venous hemorrhage or lymphatic extravasation (includes RS&I) 61624 Central nervous system (intracranial, spinal cord) 61626 Head and neck, non-central nervous system (extracranial, brachiocephalic) 75894 Transcatheter embolization S&I (Use only with 61624 and 61626) 75898 Follow-up angiography (Use only with 61624 and 61626) Transcatheter Thrombolytic Infusion Report infusion once per operative field 37211 Transcatheter thrombolysis, day #1, arterial 37212 Transcatheter thrombolysis, day #1, venous 37213 Transcatheter thrombolysis, subsequent day 37214 Transcatheter thrombolysis, final day Intracranial Procedures 61630 Balloon angioplasty (e.g., stenosis) 61635 Stent placement (e.g., stenosis) (includes angioplasty) 61640 Balloon dilation of vasospasm, initial vessel +61641 Each additional vessel in same vascular family +61642 Each additional vessel in different vascular family 61645 Arterial mechanical thrombectomy and/or thrombolytic infusion 61650 Prolonged administration of non-thrombolytic agents, initial territory +61651 Additional territory Filters and Foreign Bodies 37191 Percutaneous vena cava filter placement 37192 Vena cava filter repositioning 37193 Vena cava filter retrieval 37197 Transcatheter retrieval of intravascular foreign body Dialysis Circuit (Fistula/Graft) 36901 Catheterization with fistulogram 36902 Balloon angioplasty in peripheral segment (includes 36901) 36903 Stent placement in peripheral segment (includes 36901) (includes peripheral angioplasty) 36904 Mechanical thrombectomy, peripheral and/or central (includes 36901) 36905 With peripheral segment angioplasty 36906 With peripheral segment stent placement +36907 Angioplasty of central segment (report with 36901-36906) +36908 Stent placement in central segment (includes central angioplasty) (report with 36901-36906) +36909 Embolization of collateral(s) or main circuit (report with 36901-36906) Code no more than one PTA or stent placement in each segment.
Nonvascular Procedures Following is a list of commonly performed nonvascular procedures. It is not intended to be a complete listing of all possible codes that may be needed for a given case. Biliary Procedures Existing Access New Access Percutaneous transhepatic cholangiogram (PTC) 47531 47532 Place external biliary drainage catheter n/a 47533 Place internal-external biliary drainage catheter n/a 47534 Place biliary stent 47538 47539 or 47540 Convert external to internal-external drainage catheter 47535 n/a Change biliary drainage catheter 47536 n/a Remove drainage catheter under fluoro 47537 n/a Dilate bile duct +47542 +47542 NOTICE The contents of this Job Performance Aid (JPA) are copyrighted 2016 by Coding Strategies, Inc., Powder Springs, Georgia. It is illegal to reproduce in any form any part of this JPA without written permission from the publisher. When a third party payor is involved, the determination of reimbursement for services is the payor s decision based on the patient s policy and the payor s guidelines. No manual can adequately address reimbursement issues for all payors, so it is essential to contact each payor for their individual requirements. This JPA should not be considered a substitute for the codes, cross-references and exclusions located in the CPT manual.