Q & A with Dr. Z: Clarification of Lower Extremity Angiogram followed by Intervention

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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About the Author

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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