2025 CPT code 36200
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Introduction of catheter into the aorta; aortography or pressure measurement.
Modifiers may be applicable depending on the circumstances.Consult the CPT manual and payer guidelines.
Medical necessity for aortography is established when there is clinical suspicion of aortic pathology, such as aneurysm, dissection, stenosis, or trauma.The procedure helps guide treatment decisions and manage patient care.
The physician is responsible for patient preparation, anesthesia administration (if applicable), arterial puncture, catheter insertion and advancement, contrast injection, image acquisition and interpretation, and closure of the arteriotomy site.
In simple words: The doctor inserts a thin tube (catheter) into an artery in the leg, guiding it to the aorta (the body's largest artery).A special dye is injected to take X-ray pictures of the aorta, which may also be used to check blood pressure.
This procedure involves the insertion of a catheter into a distal artery, advancing it into the aorta.A needle is used to puncture a peripheral artery (commonly the femoral artery), followed by guidewire insertion and catheter advancement over the guidewire. Catheter placement in the aorta is confirmed, then contrast material is injected and visualized via fluoroscopy or X-ray.A pressure-measuring device may be introduced to measure aortic pressure.
Example 1: A patient presents with suspected aortic aneurysm.Aortography via 36200 is performed to visualize the aorta and assess the aneurysm's size and location., A patient experiences sudden chest pain and hypotension.Aortography (36200) is utilized to diagnose aortic dissection and assess the extent of the dissection., A patient with a history of hypertension undergoes aortography (36200) to evaluate for aortic stenosis and assess the need for intervention.
Pre-procedure consent, patient history, physical examination findings, images (fluoroscopy or X-ray), pressure readings (if obtained), procedural report detailing catheter placement, contrast administration, and findings.
** The use of this code requires careful documentation to ensure accurate coding and reimbursement.Thorough procedural notes, including image interpretations and clinical findings, are essential.Refer to current CPT and payer guidelines for specific billing rules and reimbursement policies.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Consult historical fee schedules and reimbursement databases (e.g., CMS data) for historical fee information.
- Specialties:Cardiovascular Surgery, Interventional Cardiology, Vascular Surgery, Interventional Radiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center