tci Outpatient Facility Coding Alert - 2016 Issue 12

Reader Question: Nail Down Selective Catheter Placement with 36224

Question: The provider performed selective catheterization of the right internal carotid, with digital subtraction angiography of the right carotid system. Conscious sedation was administered by anesthesiology. How would you code for this scenario? Mississippi Subscriber Answer: For this procedure, you may report CPT® 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). Append modifier RT (Right side) to indicate the procedure was performed on the right side of the brain. In 2017, you will...

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