Copyright © 2016, Coding Strategies, Inc. All rights reserved. No part of this job aid may be reproduced in any form whatsoever without written permission from the publisher. This job aid reflects coding information from the 2017 Physicians’ Current Procedural Terminology CPT® manual. This is not to be used in place of the CPT® manual. CPT is a registered trademark of the American Medical Association. CPT® five digit codes, nomenclature and other data are Copyright 2016 AMA. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT®. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for the data contained herein or not contained herein.

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Arterial Map of the Thorax, Abdomen and Pelvis 2017 Edition

Angiography

75605 (-26) – Aortography, thoracic 75625 (-26) – Aortography, abdominal by serialography 75630 (-26) – Aortography, abdominal + bilat iliofemoral 75705 (-26) – Spinal, selective 75726 (-26) – Visceral, selective (w/ flush aortogram) 75736 (-26) – Pelvic, selective

+75774 (-26) – Selective, each additional vessel

Renal Arteriogram* Selective Superselective Unilateral 36251 36253 Bilateral 36252 36254

*Includes catheterization and imaging.

Runoff Study • single catheter placement

-36200 -75630

• multiple catheter placement (abdominal aorta and at or just above bifurcation) -36200 -75625 -75716

Pelvis • 75736 selective and unilateral; if bilateral pelvic vessels

are selectively catheterized and studied, use 75736 • A nonselective pelvic study is assigned code 75630 or

75716, depending on the physician dictation of vessels studied.

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Selective Arterial Codes 2017 Edition

Angiography 75625 – Aortography, abdominal 75630 – Aortography, abdominal + bilat iliofemoral 75658 – Brachial, retrograde 75710 – Extremities, unilateral 75716 – Extremities, bilateral 75726 – Visceral, selective or suprasel (w/ flush) 75736 – Pelvic, selective or supraselective

+75774 – Selective, each additional vessel

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Venous and Portal Systems 2017 Edition

Rt External Jugular Vein (36012)

Rt Brachiocephalic Vein (36011)

Rt Subclavian Vein (36012)

Rt Hepatic Vein (36011)

Middle Hepatic Vein (36011)

Lt Hepatic Vein (36011)

Rt Adrenal Vein (36011)

Rt Renal Vein (36011)

Rt Renal Vein Branches (36012)

Rt Gonadal Vein (36011)

Rt Common Iliac Vein (36005)

Rt External Iliac Vein (36005)

Rt Internal Iliac Vein (36011) Lt Internal Iliac Vein (36012)

Lt External Iliac Vein (36012)

Lt Common Iliac Vein (36011)

Lt Gonadal Vein (36012)

Lt Renal Vein Branches (36012)

Lt Renal Vein (36011)

Internal Jugular Vein (36012)

Lt External Jugular Vein (36012)

Lt Brachiocephalic Vein (36011)

Lt Subclavian Vein (36012)

Lt Adrenal Vein (36012)

- 75860 - 75889 - w/Pressures

75891 - w/o Pressures - 75840/75842

- 75831/75833 - 75820/75822

Imaging

JugularHepatic

AdrenalsRenalsExtremities

Selective Catheter Placement 36011 – 1st order 36012 – 2nd order or more selective branch Note: No 3rd order exists, assign 36012 as needed

Non-Selective Catheter Placement 36010 – Superior or inferior vena cava 36005 – Injection for extremity venography

S&I Codes

75820 – Extremity, unilateral 75822 – Extremity, bilateral 75825 – Caval, inferior 75827 – Caval, superior 75831 – Renal, unilateral, selective 75833 – Renal, bilateral, selective 75840 – Adrenal, unilateral, selective 75842 – Adrenal, bilateral, selective 75860 – Sinus or jugular, catheter 75870 – Superior sagittal sinus 75872 – Epidural 75880 – Orbital

75885 – Portography with hemodynamic evaluation 75887 – Portography without hemodynamic evaluation 75889 – Hepatic venography, with hemodynamic evaluation 75891 – Hepatic venography, without hemodynamic evaluation 37182 – TIPS insertion 37183 – TIPS revision

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Inferior Vena Cava36010

Rt Common Iliac36005

Lt Internal Iliac36012

Great Saphenous36012

Popliteal36012

Lt Common Iliac36011

Lt External Iliac36012

Lt Common Femoral36012

Lt Profunda Femoral36012

Femoral36012

Small Saphenous36012

Posterior Tibial36012

Anterior Tibial36012

Occipital Vein

Superior Sagittal Sinus (75870)

External Jugular Vein

Right Subclavian Vein

Superior Vena Cava

Right Innominate Vein

Interior Jugular Vein

Anterior Jugular Vein

Facial Vein

Angular Vein

Sinus or jugular (75860)

SuperficialTemporal

Vein

Venous System 2017 Edition

Central Venous Catheters Centrally Inserted Peripherally Inserted Non-

Tunneled Tunneled

w/o port/pump w/port w/ pump no port/pump (PICC) w/port

Insertion (<5 yrs) 36555 36557 36560 n/a 36568 36570

Insertion (>5 yrs) 36556 36558 (1 access) 36565 (2 accesses)

36561 (1 access) 36566 (2 accesses) 36563 36569 36571

Repair 36575 36575 36576 n/a 36575 36576 Replacement (cath only) n/a n/a 36578 36578 n/a 36578 Replacement (complete) Through same access 36580 36581 36582 36583 36584 36585

Removal 36589 36590 36590 36590 Guidance Fluoroscopic guidance – 77001 Ultrasound guidance – 76937

Device/Catheter Declot 36593 – Declotting by thrombolytic agent Repositioning 36597/76000 – Repositioning of previously placed central venous catheter

Contrast Injection Only 36598 – Contrast injection(s) for radiologic evaluation of existing CV access device

Catheter Stripping 36596/75902 – Mechanical removal of obstructive material through device lumen 36595/75901 – Mechanical removal of obstructive material separate venous access

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Transcatheter Procedures 2017 Edition

ILIAC REVASCULARIZATION Common iliac, internal iliac, external iliac Initial Vessel Each Add’l Vessel

(Max 2) Angioplasty only 37220 +37222 Stent placement (with or without angioplasty) 37221 +37223

FEMORAL/POPLITEAL REVASCULARIZATION One vessel Code

Angioplasty only 37224 Atherectomy (with or without angioplasty) 37225 Stent placement (with or without angioplasty) 37226 Stent placement and Atherectomy (with or without angioplasty) 37227

TIBIAL/PERONEAL REVASCULARIZATION Anterior tibial, posterior tibial, peroneal Initial Vessel Each Add’l Vessel

(Max 2) Angioplasty only 37228 +37232 Atherectomy (with or without angioplasty) 37229 +37233 Stent placement (with or without angioplasty) 37230 +37234 Stent placement and Atherectomy (with or without angioplasty) 37231 +37235

Angioplasty (Do not use for lower extremity occlusive disease) (Includes S&I)

37246 Initial artery +37247 Each additional artery

37248 Initial vein +37249 Each additional vein

Stent Placement (Do not use for lower extremity occlusive disease) (Includes angioplasty and S&I)

37236 Initial artery +37237 Each additional artery

37238 Initial vein +37239 Each additional vein

37215 Cervical carotid artery stent placement with embolic protection 37216 Without embolic protection 37218 Antegrade common carotid or innominate stent placement 0075T Extracranial vertebral artery, initial vessel

+0076T Each additional vessel Mechanical Thrombectomy 37184 Primary arterial mechanical thrombectomy, initial vessel

+37185 Additional vessel(s) within same vascular family +37186 Secondary arterial mechanical thrombectomy

37187 Venous mechanical thrombectomy 37188 Repeat venous thrombectomy on subsequent day during thrombolysis

• Revascularization codes include catheterization and S&I to accomplish the procedure. • Code diagnostic angiograms separately (S&I only) if they meet CPT® guidelines. • Assign only one revascularization code per vessel. • Code left and right extremities separately.

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Transcatheter Procedures 2017 Edition

Embolization Report embolization once per surgical field 37241 Venous, other than hemorrhage (includes RS&I) 37242 Arterial, other than hemorrhage or tumor (includes RS&I) 37243 For tumor, organ ischemia, or infarction (includes RS&I) 37244 For arterial or venous hemorrhage or lymphatic extravasation (includes RS&I) 61624 Central nervous system (intracranial, spinal cord) 61626 Head and neck, non-central nervous system (extracranial, brachiocephalic) 75894 Transcatheter embolization S&I (Use only with 61624 and 61626) 75898 Follow-up angiography (Use only with 61624 and 61626)

Transcatheter Thrombolytic Infusion Report infusion once per operative field 37211 Transcatheter thrombolysis, day #1, arterial 37212 Transcatheter thrombolysis, day #1, venous 37213 Transcatheter thrombolysis, subsequent day 37214 Transcatheter thrombolysis, final day

Intracranial Procedures 61630 Balloon angioplasty (e.g., stenosis) 61635 Stent placement (e.g., stenosis) (includes angioplasty) 61640 Balloon dilation of vasospasm, initial vessel

+61641 Each additional vessel in same vascular family +61642 Each additional vessel in different vascular family

61645 Arterial mechanical thrombectomy and/or thrombolytic infusion 61650 Prolonged administration of non-thrombolytic agents, initial territory

+61651 Additional territory

Filters and Foreign Bodies 37191 Percutaneous vena cava filter placement 37192 Vena cava filter repositioning 37193 Vena cava filter retrieval 37197 Transcatheter retrieval of intravascular foreign body

Dialysis Circuit (Fistula/Graft)

36901 Catheterization with fistulogram 36902 Balloon angioplasty in peripheral segment (includes 36901) 36903 Stent placement in peripheral segment (includes 36901) (includes peripheral angioplasty) 36904 Mechanical thrombectomy, peripheral and/or central (includes 36901) 36905 With peripheral segment angioplasty 36906 With peripheral segment stent placement +36907 Angioplasty of central segment (report with 36901-36906) +36908 Stent placement in central segment (includes central angioplasty) (report with 36901-36906) +36909 Embolization of collateral(s) or main circuit (report with 36901-36906)

Code no more than one PTA or stent placement in each segment.

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Nonvascular Procedures 2017 Edition

Following is a list of commonly performed nonvascular procedures. It is not intended to be a complete listing of all possible codes that may be needed for a given case.

Biliary Procedures Existing Access New Access Percutaneous transhepatic cholangiogram (PTC) 47531 47532 Place external biliary drainage catheter n/a 47533 Place internal-external biliary drainage catheter n/a 47534 Place biliary stent 47538 47539 or 47540 Convert external to internal-external drainage catheter 47535 n/a Change biliary drainage catheter 47536 n/a Remove drainage catheter under fluoro 47537 n/a Dilate bile duct +47542 +47542

NOTICE The contents of this Job Performance Aid (JPA) are copyrighted 2016 by Coding Strategies, Inc., Powder Springs, Georgia. It is illegal to reproduce in any form any part of this JPA without written permission from the publisher. When a third party payor is involved, the determination of reimbursement for services is the payor’s decision based on the patient’s policy and the payor’s guidelines. No manual can adequately address reimbursement issues for all payors, so it is essential to contact each payor for their individual requirements. This JPA should not be considered a substitute for the codes, cross-references and exclusions located in the CPT® manual.