Coding Renal Angiography: 2012 Changes

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Question:

The renal angiography codes are no longer in the 2012 CPT book. What happened?

Answer:

Per CPT 2012, the renal angiography codes have been bundled with the associated renal catheterization codes. Prior to 2012, renal angiography was reported as 75722 for unilateral and 75724 for bilateral. Catheterization codes were separately reported. The 2012 bundled codes are:

36251 Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral
36252 bilateral
36253 Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral
36245 Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family

As described, these codes include catheterization, the renal angiogram, and a flush aortogram if performed. 75722 and 75722 have been deleted since they are now bundled into the above four codes.


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