Billing Vertebral Angiograms

Billing Vertebral Angiograms

May 17, 2018

Question:
Do I have to have the catheter is the vertebral artery to bill a vertebral angiogram?

Answer:
Not necessarily.  See the code descriptions below for vertebral imaging.  If the catheter is selectively placed in the subclavian or innominate artery and vertebral circulation is imaged and documented, code 36225 is reported. If the catheter is selectively placed in the vertebral artery and vertebral circulation is imaged and documented, code 36226 is reported.

CPT Code

Description

Vessels imaged

36225

Selective catheter placement, subclavian or innominate, unilateral

Ipsilateral vertebral circulation, including arch

36226

Selective catheter placement vertebral artery, unilateral

Ipsilateral vertebral circulation, including the arch

 

*This response is based on the best information available as of 05/17/18.

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