© Copyright 2025 American Medical Association. All rights reserved.
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 the lumen through which blood flows. The IVUS technique involves the use of a catheter equipped with a miniaturized transducer that emits ultrasound waves. These waves create images that reveal the various layers of the blood vessel, including the outer covering known as the adventitia, the middle layer called the media, and the inner endothelial layer referred to as the intima. The open channel through which blood circulates is also visualized, providing critical information for diagnosis and treatment planning. During the procedure, the IVUS catheter is carefully advanced over a guidewire to the specific site that requires evaluation. The radiological supervision and interpretation of the ultrasound images are integral components of the procedure, ensuring that the findings are accurately documented in a written report. It is important to note that CPT® Code 37252 is utilized for the initial vessel evaluated with IVUS, while CPT® Code 37253 is designated for each additional non-coronary vessel assessed during the same session.
© Copyright 2025 Coding Ahead. All rights reserved.
The indications for performing intravascular ultrasound (IVUS) on non-coronary vessels include a variety of clinical scenarios where detailed visualization of the vascular structure is necessary. These may encompass:
The procedure for performing intravascular ultrasound (IVUS) on non-coronary vessels involves several key steps that ensure accurate imaging and assessment of the vascular structure. These steps include:
After the completion of the intravascular ultrasound procedure, several post-procedure considerations are important for patient care and follow-up. Patients may be monitored for any immediate complications related to the catheter insertion site, such as bleeding or infection. Additionally, the results of the IVUS, as documented in the written report, will guide further management and treatment decisions. Depending on the findings, additional interventions may be required, or the patient may be scheduled for follow-up imaging to assess the effectiveness of any treatments initiated. It is essential for healthcare providers to communicate the results to the patient and discuss any necessary next steps in their care plan.
| Short Descr | INTRVASC US NONCORONARY ADDL | Medium Descr | INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL | Long Descr | Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional 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 | 5 |
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. | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | 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) | 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. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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). | GW | Service not related to the hospice patient's terminal condition | 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 | 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. | 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 | 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.) | 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 | 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.) | 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. | 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. | 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). | KX | Requirements specified in the medical policy have been met | GA | Waiver of liability statement issued as required by payer policy, individual case | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | 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). | 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. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | ET | Emergency services | 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 | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | 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 | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services | X3 | Episodic/broad services: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2016-01-01 | Added | Added |
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