Selective Catheterization Coding (CPT code 36251,36252,36253 & 36254)

Procedure performed for Renal Artery Catheterization The physician first takes the access into the skin through an underlying artery of lower extremity and introduce a guidewire through the needle. The wire is threaded into the main renal artery or any branch of renal artery. A catheter is introduced through the guidewire and then the contrast material in injected for arteriography. Images are obtained once the contrast is injected.  CPT code 36251, 36252, 36253 and 36254 are used for coding selective catheter placement in renal artery and its branches. In this…

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Coding Selective and Non Selective Catheter Placement of Lower Extremity

Coding Selective and Non Selective Catheter Placement of Lower Extremity

Selective versus Non Selective Catheter Placement There are two types of vascular catheter placements: Non-selective and Selective Non-selective catheter placement is any of the following: Placement of a catheter or intra-catheter into the access vessel and leaving it in that vessel, Advancement of the catheter more centrally in the same access vessel, or advancement of the catheter from the access vessel into the aorta. Even if the catheter is advanced more centrally or into the aorta it is still designated as a non-selective catheter placement as the catheter never diverts…

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