When performing a selective catheter placement of the internal carotid artery and two intracranial branches of the internal carotid or vertebral arteries, such as the middle cerebral artery (MCA) and the anterior cerebral artery (ACA) selections, is it appropriate to report code 36224 , Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed, and two units of code 36228 , Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery) (List separately in addition to code for primary procedure)? ...

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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 coding article addresses how a specific neuroangiography scenario is reported when the internal carotid artery and two separate intracranial branch vessels are involved. It is intended for coders and billers working in interventional radiology or neurovascular procedures who need to understand the general reporting framework and the code sets referenced in this type of guidance.

Why This Topic Matters

Accurate reporting for selective catheter placement and intracranial branch work affects claim completeness and consistent interpretation of neuroangiography services. The article helps readers understand the coding topic at a high level without replacing the full premium guidance.

Codes Discussed

• CPT: 36224
• CPT: 36228

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