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Official Description

Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Intravascular ultrasound (IVUS) is a specialized imaging technique used to visualize the interior of blood vessels, specifically non-coronary vessels, during diagnostic evaluations and therapeutic interventions. This procedure provides a detailed cross-sectional view of the vessel, allowing healthcare professionals to assess the structure and condition of the vessel walls and surrounding tissues. The IVUS technique involves the use of a catheter equipped with a miniaturized ultrasound transducer, which is advanced over a guidewire to the targeted area within the vascular system. This enables the capture of high-resolution ultrasound images that reveal the various layers of the blood vessel, including the outer layer known as the adventitia, the middle layer called the media, the inner endothelial layer referred to as the intima, and the lumen, which is the open channel through which blood flows. The procedure is performed under radiological supervision, ensuring that the catheter is accurately placed and that the ultrasound images are properly obtained and interpreted. A written report detailing the findings from the IVUS examination is generated as part of the procedure. It is important to note that CPT® Code 37252 is designated for the initial non-coronary vessel evaluated using IVUS, while additional vessels evaluated during the same session are reported separately using CPT® Code 37253.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

Intravascular ultrasound (IVUS) is indicated for use during diagnostic evaluations and therapeutic interventions involving non-coronary vessels. The procedure is typically performed to assess various vascular conditions, including but not limited to:

  • Assessment of Vascular Disease Evaluation of the presence and extent of atherosclerosis or other vascular abnormalities.
  • Guidance for Interventions Providing real-time imaging to assist in the placement of stents or other vascular devices.
  • Evaluation of Vascular Grafts Assessing the patency and condition of previously placed vascular grafts.
  • Investigation of Vascular Symptoms Investigating unexplained symptoms related to blood flow issues in non-coronary vessels.

2. Procedure

The procedure for intravascular ultrasound (IVUS) involves several key steps that ensure accurate imaging and assessment of the non-coronary vessel:

  • Step 1: Preparation The patient is prepared for the procedure, which may include the administration of local anesthesia and the placement of intravenous access for sedation if necessary. The area where the catheter will be inserted is cleaned and sterilized to minimize the risk of infection.
  • Step 2: Catheter Insertion A catheter is introduced into the vascular system, typically through a peripheral access point such as the femoral or radial artery. The catheter is carefully advanced over a guidewire to the specific site of interest within the non-coronary vessel.
  • Step 3: Ultrasound Imaging Once the catheter is positioned correctly, the miniaturized ultrasound transducer at the tip of the catheter is activated. This transducer emits sound waves that penetrate the vessel walls, creating detailed cross-sectional images of the vessel structure.
  • Step 4: Image Acquisition The ultrasound images are captured in real-time, allowing the physician to visualize the layers of the vessel, including the adventitia, media, intima, and lumen. The images are reviewed during the procedure to ensure adequate visualization of the area of interest.
  • Step 5: Interpretation and Reporting After the imaging is complete, the ultrasound images are analyzed, and a written report is generated. This report includes the findings from the IVUS examination, detailing any abnormalities or areas of concern identified during the procedure.

3. Post-Procedure

Following the intravascular ultrasound procedure, patients are typically monitored for a short period to ensure there are no immediate complications, such as bleeding or vascular injury. Depending on the patient's condition and the extent of the procedure, they may be discharged the same day or kept for further observation. Patients are advised to follow any specific post-procedure care instructions provided by their healthcare team, which may include activity restrictions and signs of complications to watch for. A follow-up appointment may be scheduled to discuss the findings of the IVUS and any necessary further interventions or treatments based on the results.

Short Descr INTRVASC US NONCORONARY 1ST
Medium Descr INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL
Long Descr Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)
Status Code Active Code
Global Days ZZZ - Code Related to Another Service
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 1 - Co-surgeons could be paid, though supporting documentation is required...
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) I1F - Standard imaging - other
MUE 1

This is an add-on code that must be used in conjunction with one of these primary codes.

0075T MPFS Status: Carrier Priced APC C PUB 100 CPT Assistant Article Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel
0076T Addon Code MPFS Status: Carrier Priced APC C PUB 100 CPT Assistant Article Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to code for primary procedure)
0234T MPFS Status: Carrier Priced APC J1 Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery
0235T MPFS Status: Carrier Priced APC C Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; visceral artery (except renal), each vessel
0236T MPFS Status: Carrier Priced APC J1 Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta
0237T MPFS Status: Carrier Priced APC J1 Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel
0238T MPFS Status: Carrier Priced APC J1 ASC J8 Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel
0338T MPFS Status: Carrier Priced APC J1 ASC G2 Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; unilateral
33361 MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach
33362 MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach
33363 MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach
33364 MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach
33365 MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy)
33366 MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy)
33367 Addon Code MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separately in addition to code for primary procedure)
33368 Addon Code MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (List separately in addition to code for primary procedure)
33369 Addon Code MPFS Status: Active Code APC C Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in addition to code for primary procedure)
33477 MPFS Status: Active Code APC C Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed
33880 MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin
33881 MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin
33883 MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); initial extension
33884 Addon Code MPFS Status: Active Code APC C CPT Assistant Article Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure)
33886 MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta
34701 MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)
34702 MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)
34703 MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)
34704 MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)
34705 MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)
34706 MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption)
34707 MPFS Status: Active Code APC C Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)
34708 MPFS Status: Active Code APC C Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)
34709 Addon Code MPFS Status: Active Code APC C Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, penetrating ulcer, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed, per vessel treated (List separately in addition to code for primary procedure)
34710 MPFS Status: Active Code APC C Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed; initial vessel treated
34711 Addon Code MPFS Status: Active Code APC C Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed; each additional vessel treated (List separately in addition to code for primary procedure)
34712 MPFS Status: Active Code APC C Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation
34718 Resequenced Code MPFS Status: Active Code APC C Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, including pre-procedure sizing and device selection, all ipsilateral selective iliac artery catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally in the internal iliac, external iliac, and common femoral artery(ies), and treatment zone angioplasty/stenting, when performed, for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, penetrating ulcer), unilateral
34841 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)
34842 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
34843 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
34844 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
34845 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)
34846 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
34847 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
34848 MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
36010 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Introduction of catheter, superior or inferior vena cava
36011 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)
36012 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)
36013 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Introduction of catheter, right heart or main pulmonary artery
36014 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, left or right pulmonary artery
36015 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, segmental or subsegmental pulmonary artery
36100 MPFS Status: Active Code APC N ASC N1 Illustration for Code Introduction of needle or intracatheter, carotid or vertebral artery
36140 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Introduction of needle or intracatheter, upper or lower extremity artery
36160 MPFS Status: Active Code APC N ASC N1 Introduction of needle or intracatheter, aortic, translumbar
36200 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Introduction of catheter, aorta
36215 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family
36216 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family
36217 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family
36218 Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)
36221 MPFS Status: Active Code APC Q2 ASC N1 Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed
36222 MPFS Status: Active Code APC Q2 ASC N1 Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed
36223 MPFS Status: Active Code APC Q2 ASC N1 Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed
36224 MPFS Status: Active Code APC Q2 ASC N1 Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed
36225 MPFS Status: Active Code APC Q2 ASC N1 Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed
36226 MPFS Status: Active Code APC Q2 ASC N1 Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed
36227 Addon Code MPFS Status: Active Code APC N ASC N1 Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)
36228 Addon Code MPFS Status: Active Code APC N ASC N1 Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery) (List separately in addition to code for primary procedure)
36245 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family
36246 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family
36247 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family
36248 Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)
36251 MPFS Status: Active Code APC Q2 ASC N1 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 MPFS Status: Active Code APC Q2 ASC N1 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; bilateral
36253 MPFS Status: Active Code APC Q2 ASC N1 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
36254 MPFS Status: Active Code APC Q2 ASC N1 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; bilateral
36481 MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Percutaneous portal vein catheterization by any method
36555 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age
36556 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
36557 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age
36558 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older
36560 Age Edit MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age
36561 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older
36563 MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of tunneled centrally inserted central venous access device with subcutaneous pump
36565 MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter)
36566 MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s)
36568 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age
36569 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older
36570 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age
36571 Age Edit MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older
36578 MPFS Status: Active Code APC J1 ASC J8 Physician Quality Reporting CPT Assistant Article Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site
36580 MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access
36581 MPFS Status: Active Code APC J1 ASC J8 Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access
36582 MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access
36583 MPFS Status: Active Code APC J1 ASC J8 CPT Assistant Article Illustration for Code Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access
36584 MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement
36585 MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access
36595 MPFS Status: Active Code APC J1 ASC P3 CPT Assistant Article Illustration for Code Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access
36901 MPFS Status: Active Code APC J1 ASC P3 Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report;
36902 MPFS Status: Active Code APC J1 ASC G2 Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty
36903 MPFS Status: Active Code APC J1 ASC J8 Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment
36904 MPFS Status: Active Code APC J1 ASC J8 Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s);
36905 MPFS Status: Active Code APC J1 ASC J8 Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty
36906 MPFS Status: Active Code APC J1 ASC J8 Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis circuit
36907 CPT Add On MPFS Status: Active Code APC N ASC N1 Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary procedure)
36908 CPT Add On MPFS Status: Active Code APC N ASC N1 Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central dialysis segment (List separately in addition to code for primary procedure)
36909 CPT Add On MPFS Status: Active Code APC N ASC N1 Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation necessary to complete the intervention (List separately in addition to code for primary procedure)
37184 MPFS Status: Active Code APC J1 ASC J8 Physician Quality Reporting Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel
37185 Addon Code MPFS Status: Active Code APC N ASC N1 Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)
37186 Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)
37187 MPFS Status: Active Code APC J1 ASC J8 Physician Quality Reporting Illustration for Code Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance
37188 MPFS Status: Active Code APC J1 ASC J8 Physician Quality Reporting Illustration for Code Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during course of thrombolytic therapy
37200 MPFS Status: Active Code APC J1 ASC G2 CPT Assistant Article Illustration for Code Transcatheter biopsy
37211 MPFS Status: Active Code APC J1 ASC J8 Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day
37212 MPFS Status: Active Code APC J1 ASC G2 Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day
37213 MPFS Status: Active Code APC J1 Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed;
37214 MPFS Status: Active Code APC J1 Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method
37215 MPFS Status: Restricted APC C CPT Assistant Article Illustration for Code Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal embolic protection
37216 MPFS Status: Non-covered Service APC E1 CPT Assistant Article Illustration for Code Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal embolic protection
37218 MPFS Status: Active Code APC C Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiological supervision and interpretation
37220 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty
37221 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed
37222 Addon Code MPFS Status: Active Code APC N ASC N1 Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)
37223 Addon Code MPFS Status: Active Code APC N ASC N1 Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)
37224 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty
37225 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed
37226 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed
37227 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed
37228 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty
37229 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed
37230 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed
37231 MPFS Status: Active Code APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed
37232 Addon Code MPFS Status: Active Code APC N ASC N1 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)
37233 Addon Code MPFS Status: Active Code APC N ASC N1 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)
37234 Addon Code MPFS Status: Active Code APC N ASC N1 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)
37235 Addon Code MPFS Status: Active Code APC N ASC N1 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)
37236 MPFS Status: Active Code APC J1 ASC J8 Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery
37237 Addon Code MPFS Status: Active Code APC N ASC N1 Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; each additional artery (List separately in addition to code for primary procedure)
37238 MPFS Status: Active Code APC J1 ASC J8 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein
37239 Addon Code MPFS Status: Active Code APC N ASC N1 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)
37241 MPFS Status: Active Code APC J1 ASC J8 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)
37242 MPFS Status: Active Code APC J1 ASC J8 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)
37243 MPFS Status: Active Code APC J1 ASC J8 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction
37244 MPFS Status: Active Code APC J1 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation
37246 CPT Resequenced MPFS Status: Active Code APC J1 ASC J8 Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery
37247 CPT Add On CPT Resequenced MPFS Status: Active Code APC N ASC N1 Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; each additional artery (List separately in addition to code for primary procedure)
37248 CPT Resequenced MPFS Status: Active Code APC J1 ASC J8 Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein
37249 CPT Add On CPT Resequenced MPFS Status: Active Code APC N ASC N1 Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)
61623 MPFS Status: Active Code APC J1 Physician Quality Reporting CPT Assistant Article Illustration for Code Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon, concomitant neurological monitoring, and radiologic supervision and interpretation of all angiography required for balloon occlusion and to exclude vascular injury post occlusion
75600 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Aortography, thoracic, without serialography, radiological supervision and interpretation
75605 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Aortography, thoracic, by serialography, radiological supervision and interpretation
75625 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Aortography, abdominal, by serialography, radiological supervision and interpretation
75630 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation
75635 MPFS Status: Active Code APC Q2 ASC N1 PUB 100 CPT Assistant Article Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing
75705 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Angiography, spinal, selective, radiological supervision and interpretation
75710 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Angiography, extremity, unilateral, radiological supervision and interpretation
75716 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Angiography, extremity, bilateral, radiological supervision and interpretation
75726 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation
75731 MPFS Status: Active Code APC J1 ASC Z3 Physician Quality Reporting PUB 100 Angiography, adrenal, unilateral, selective, radiological supervision and interpretation
75733 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Angiography, adrenal, bilateral, selective, radiological supervision and interpretation
75736 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Angiography, pelvic, selective or supraselective, radiological supervision and interpretation
75741 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation
75743 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation
75746 MPFS Status: Active Code APC J1 ASC Z3 Physician Quality Reporting PUB 100 Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation
75756 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Angiography, internal mammary, radiological supervision and interpretation
75774 Addon Code MPFS Status: Active Code APC N ASC N1 PUB 100 CPT Assistant Article Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)
75805 MPFS Status: Carrier Priced APC J1 ASC Z2 Physician Quality Reporting PUB 100 Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation
75807 MPFS Status: Carrier Priced APC Q2 ASC N1 Physician Quality Reporting PUB 100 Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation
75810 MPFS Status: Carrier Priced APC J1 ASC Z2 Physician Quality Reporting PUB 100 CPT Assistant Article Splenoportography, radiological supervision and interpretation
75820 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Venography, extremity, unilateral, radiological supervision and interpretation
75822 MPFS Status: Active Code APC J1 ASC Z3 Physician Quality Reporting PUB 100 Venography, extremity, bilateral, radiological supervision and interpretation
75825 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Venography, caval, inferior, with serialography, radiological supervision and interpretation
75827 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Venography, caval, superior, with serialography, radiological supervision and interpretation
75831 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Venography, renal, unilateral, selective, radiological supervision and interpretation
75833 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Venography, renal, bilateral, selective, radiological supervision and interpretation
75860 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation
75870 MPFS Status: Active Code APC J1 ASC Z3 Physician Quality Reporting PUB 100 Venography, superior sagittal sinus, radiological supervision and interpretation
75872 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Venography, epidural, radiological supervision and interpretation
75885 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation
75887 MPFS Status: Active Code APC J1 ASC Z3 Physician Quality Reporting PUB 100 CPT Assistant Article Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation
75889 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation
75891 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation
75893 MPFS Status: Active Code APC Q2 ASC N1 Physician Quality Reporting PUB 100 Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation
75894 MPFS Status: Carrier Priced APC N ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Transcatheter therapy, embolization, any method, radiological supervision and interpretation
75898 MPFS Status: Carrier Priced APC J1 ASC Z2 Physician Quality Reporting CPT Assistant Article Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis
75901 MPFS Status: Active Code APC N ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation
75902 MPFS Status: Active Code APC N ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation
75956 MPFS Status: Carrier Priced APC C Physician Quality Reporting PUB 100 CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin, radiological supervision and interpretation
75957 MPFS Status: Carrier Priced APC C Physician Quality Reporting PUB 100 CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin, radiological supervision and interpretation
75958 MPFS Status: Carrier Priced APC C Physician Quality Reporting PUB 100 CPT Assistant Article Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption), radiological supervision and interpretation
75959 MPFS Status: Carrier Priced APC C Physician Quality Reporting PUB 100 CPT Assistant Article Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and interpretation
75970 MPFS Status: Carrier Priced APC N ASC N1 Physician Quality Reporting PUB 100 Transcatheter biopsy, radiological supervision and interpretation
76000 MPFS Status: Active Code APC S ASC Z3 Physician Quality Reporting CPT Assistant Article Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time
77001 Addon Code MPFS Status: Active Code APC N ASC N1 Physician Quality Reporting PUB 100 CPT Assistant Article Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)
C9764 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
C9765 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
C9766 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed
C9767 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed
C9772 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed
C9773 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
C9774 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed
C9775 Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
GC This service has been performed in part by a resident under the direction of a teaching physician
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
X5 Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
X4 Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
GW Service not related to the hospice patient's terminal condition
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
62 Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate.
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
CR Catastrophe/disaster related
Q0 Investigational clinical service provided in a clinical research study that is in an approved clinical research study
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
50 Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d).
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
77 Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
82 Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s).
AG Primary physician
AO Alternate payment method declined by provider of service
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
ET Emergency services
FS Split (or shared) evaluation and management visit
GX Notice of liability issued, voluntary under payer policy
GZ Item or service expected to be denied as not reasonable and necessary
KX Requirements specified in the medical policy have been met
LD Left anterior descending coronary artery
LM Left main coronary artery
PD Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
Q3 Live kidney donor surgery and related services
Q5 Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
RC Right coronary artery
RI Ramus intermedius coronary artery
SG Ambulatory surgical center (asc) facility service
Date
Action
Notes
2017-01-01 Changed Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category.
2016-01-01 Added Added
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