How would the following be billed for the catheterization of the thyrocervical trunk? Selective catheterization of the left thyrocervical trunk Selective catheterization of the right thyrocervical trunk Selective catheterization of the right internal carotid artery Selective catheterization of the left internal carotid artery Digital subtraction angiography of both carotid systems, extra and intracranially Digital subtraction angiography of both vertebrals and the basilar artery Digital subtraction angiography of the right ilio-femoral arterial complex Percutaneous closure of the arteriotomy site using a 6 Fr Angioseal device Thank you!

SuperCoder Answered Fri 12th of May, 2017 07:48:58 AM

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1. CPT code for right and left internal carotid artery selective catheterization and angiography of both carotids (extracranially and intracranially) would be 36224.

2. CPT code for angiography of both vertebrals and basilar artery would be 36226-50 (modifier 50 to indicate bilateral vertebrals)

3. CPT code for left thyrocervical trunk would be 36216-59 (modifier 59 to indicate distinct procedure as per CCI guidelines).

4. CPT code for right thyrocervical trunk would be 36217-59 (modifier 59 to indicate distinct procedure as per CCI guidelines).

5. CPT code for angiography of right ilio-femoral artery would be 75710-RT (modifier RT to indicate right side).

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