by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC
If a diagnostic abdominal angiogram and bilateral runoff is performed (2 cath positions) (36200, 75716) and then the physician decides to do an intervention in the contralateral leg, do we need to drop CPT code 36200 (catheter placement for the diagnostic exam) or do we still bill code 36200, adding a -59 modifier?
Since the aorta is on the way to the contralateral leg, and the contralateral leg intervention includes catheter placement, you would not report 36200 at the same session. IF there are two access sites, one for the diagnostic study and a different access site for the intervention, then yes, you could report 36200-59 for the diagnostic site catheter placement.
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