Surgery: Cardiovascular System (Q&A) (August 2012)

August 2012 page 13a Surgery: Cardiovascular System Question: A bilateral renal angiogram is performed with both a first-order selective ("selective") catheter placement for the right renal arteriography and a second-order catheter placement ("superselective") for the left renal arteriography. In light of the new 2012 bundled codes for renal angiography, is this procedure reported with bilateral superselective code 36254, even though both kidneys were not superselected? Answer: No. When one renal arteriogram is performed through a catheter placed in a first-order vessel and the other superselective or second or higher order vessel, the procedure should be reported with code 36251...

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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 explains a renal angiography coding question in the cardiovascular surgery section of CPT Assistant. It is relevant to coders, billers, and compliance staff working with vascular imaging services, especially when bilateral renal studies involve different catheter placement levels and payer-specific modifier practices. The article focuses on how the bundled renal angiography codes are discussed, along with associated CPT and HCPCS Level II modifier considerations.

Why This Topic Matters

Renal angiography reporting can be affected by catheter placement level and laterality, and this article clarifies how the topic was addressed in the 2012 CPT guidance. It helps readers understand the scope of the Q&A and identify the code sets and modifiers involved before reviewing the full premium content.

Article Sections

  1. August 2012 page 13a

    A short introductory section identifying the publication page and framing the cardiovascular surgery coding question addressed in the article.

  2. Surgery: Cardiovascular System

    The main Q&A content covering a renal angiography reporting scenario, including the coding context, related CPT guidance, and modifier considerations.

What You Will Learn

  • The general renal angiography scenario addressed in the Q&A
  • How the article relates to bundled renal imaging codes introduced in 2012
  • Which code sets and modifier categories are discussed
  • How the article frames payer-related modifier considerations

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Compliance staff
  • Revenue cycle professionals
  • Health information management professionals

Codes Discussed

Modifiers Discussed


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