Surgery: Cardiovascular System (December 2007)

December 2007 page 11 Bonus Feature:Surgery: Cardiovascular System Question: Is CPT code 36140 assigned for the pullback of the catheter from the contralateral common femoral artery into the ipsilateral common femoral artery for extremity imaging? Answer: No additional code (eg, 36140) should be reported for the pullback positioning of the catheter in this setting. Code 36246 (second order catheterization) should be the only code reported for selective catheterization of the contralateral common femoral artery from an ipsilateral femoral puncture site because the contralateral catheterization includes the work of the nonselective catheter placement (36140). The Centers for Medicare & Medicaid...

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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 brief CPT Assistant article reviews a cardiovascular surgery coding question involving catheter positioning and selective versus nonselective catheterization in angiographic imaging. It is aimed at coders and billing staff who work with cardiovascular procedures, CPT reporting, and National Correct Coding Initiative concepts. The discussion focuses on how CMS and related edits affect reporting in specific catheterization circumstances.

Why This Topic Matters

Accurate reporting in cardiovascular imaging depends on understanding how catheter placement and selective access are counted. This article helps coding professionals recognize when additional reporting is or is not supported in the scenario discussed.

Article Sections

  1. December 2007 page 11

    A short Q&A feature on cardiovascular surgery coding guidance published in CPT Assistant. It centers on catheterization and angiography reporting considerations discussed for December 2007.

What You Will Learn

  • How the article frames a cardiovascular catheterization coding question
  • What general types of reporting considerations are discussed for selective and nonselective catheterization
  • How CMS and NCCI are referenced in the context of the scenario
  • Which broad procedural circumstances the article addresses in cardiovascular imaging coding

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Cardiovascular surgery coding professionals
  • Compliance personnel

Codes Discussed


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