October 2015 Q & A

Question: When do you use 75630 vs 75625

I am completely confused on Abdominal Aortic imaging. Does CPT code 75625 require 2 catheter placements or not? For example, physician places a catheter in the abdominal aorta near the renal arteries and performs abdominal aortography, also documents bilateral pelvic and common femoral artery imaging.The physician then moves the catheter to the SFA and completes the angiography with chase bolus runoff to the foot on the left. Is this coded as 36247, 75625, 75716 or is it 36247, 75630?
Answer:
I would use CPT codes 36247, 75625, and 75716 here as separate diagnostic aortography and separate bilateral lower extremity angiography are done (pulled catheter down, did obliques of pelvis, and finished contralateral runoff by moving catheter to the contralateral SFA and pullback to ipsilateral iliac for ipsilateral runoff). CPT code 75630 is used when catheter movement is either not done or not documented OR when a limited exam of the aorta, iliac and femoral arteries is done with or without catheter movement.