Cervicocerebral Angiography

CLINICAL EXAMPLE 2 Cervicocerebral Angiography CLINICAL HISTORY A 73-year-old male with cervical magnetic resonance imaging (MRI) scan suspicious for a dural arteriovenous fistula (DAVF). PROCEDURE Ultrasound-guided right common femoral artery access; right costocervical arteriogram; right thyrocervical arteriogram; right vertebral arteriogram; right internal carotid arteriogram; right external carotid arteriogram. TECHNIQUE The risks, benefits, and alternatives of the procedure were discussed with the patient. After answering all of the patient's questions, written and oral informed consent was obtained. The patient was then brought to the interventional suite and placed supine on the fluoroscopy table. A surgical "time out" was performed, and...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a diagnostic cervicocerebral angiography case and explains the associated professional coding considerations. It is aimed at coders, billers, and interventional radiology staff who need to understand how the procedure is represented in CPT, how add-on services are identified, and how modifiers may apply in a multi-vessel study. The discussion also references relevant CPT codebook updates and coding guidance from major professional organizations.

Why This Topic Matters

Cervicocerebral angiography often involves multiple vessels, add-on services, and modifier application, so accurate code identification is important for compliant reporting and consistent claim submission.

Article Sections

  1. Clinical Example 2

    A diagnostic angiography case is presented with a clinical history, procedural summary, technical narrative, and findings.

  2. How to Code

    This section discusses the coding assignments associated with the case and introduces the related CPT services and modifiers referenced in the example.

  3. Discussion

    Expanded commentary covers the broader coding context for cervicocerebral angiography, including add-on services, vessel hierarchy, unilateral reporting, and references to professional guidance.

  4. Coding tip

    Brief coding notes summarize CPT codebook updates, reporting relationships, and modifier considerations associated with this type of angiographic study.

  5. Sources

    Citations identify the professional publications and organizations referenced by the article.

What You Will Learn

  • How a cervicocerebral angiography case is structured for coding review
  • Which CPT services and add-on concepts are discussed for this type of diagnostic study
  • What general modifier considerations are referenced in the article
  • Which professional sources are cited as supporting guidance

Who Should Read This

  • Medical coders
  • Radiology billers
  • Interventional radiology staff
  • Coding auditors
  • Compliance professionals

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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