CPT 36251 and abdominal aortogram with iliac runoff

 

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by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

Question:
Via a right femoral access, the doctor did an abdominal aortogram with bilateral renal and bilateral iliac runoffs. Then he placed the catheter in the right renal artery and did an angiogram. How do you code for the iliac runoff study? Is the aortogram included in CPT 36251? Can I use 75630 with 36251? I code for the physician.

Answer:
Code 36251 describes the selective renal angiogram, which bundles aortography. The iliacs are then described as a bilateral runoff with 75716. Do not use 75630 here, as it would be double coding the aortography.

 

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About the Author

David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC
David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.

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