Don't use select and non-select codes for contra/ipsy studies

Why This Topic Matters

The topic matters because it addresses a coding practice that CMS said is no longer supported, creating uncertainty for billing and compliance in vascular/interventional procedures.

Article Sections

1. Coding policy change and affected catheterization studies

   Introduces the CMS position and the general procedure context involving extremity studies performed on opposite sides of the access site.

2. CMS clarification and remaining scenarios

   Summarizes the circumstances CMS says may still allow reporting of multiple studies, along with the role of modifier use and NCCI edits.

3. Industry reaction and interim guidance

   Covers comments from interventional radiology stakeholders and the uncertainty created by the lack of a clear alternative coding approach.

4. Related angiography reporting considerations

   Notes a broader distinction between catheterization coding and other extremity angiography reporting topics.