2025 CPT code 36247
Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family.
Modifiers may be applicable to this code. Modifier 59 (Distinct Procedural Service) may be used to indicate that the selective catheterization was performed as a separate service from another procedure on the same day, such as an intervention.Other modifiers may also be appropriate depending on the specific circumstances.
Medical necessity for this procedure must be established by documenting the patient's symptoms, medical history, and the clinical indication for the angiogram. The documentation should clearly support the need for the selective catheterization of the specific artery, and how the information obtained will be used to guide treatment decisions.
The physician performing this procedure is responsible for gaining access to the blood vessels, typically through the femoral artery. After cleaning and anesthetizing the area, a small incision is made, a guide wire is inserted, and then the catheter is advanced through the arteries to the target area. Contrast material is injected, and X-ray or fluoroscopic images are taken to visualize the blood vessels.
In simple words: This procedure involves inserting a thin tube (catheter) into a specific artery in your abdomen, pelvis, or lower extremity to examine the blood vessels.A special dye is injected, and X-rays are taken to create images of your blood vessels. This helps doctors diagnose and treat conditions affecting these vessels.
This code describes a procedure where a catheter is selectively placed into a third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family. This is often used for angiography, a procedure to visualize blood vessels using X-ray and contrast material. The procedure includes local anesthesia and introduction of needles or catheters, injection of contrast media (with or without automatic power injection) and pre- and post-injection care.
Example 1: A patient presents with severe leg pain and suspected peripheral artery disease. The physician performs selective catheterization of the anterior tibial artery (a third order branch) to assess blood flow and identify any blockages., A patient is scheduled for uterine fibroid embolization. The physician uses selective catheterization to access the uterine arteries (third order branches) and deliver embolic agents to block blood flow to the fibroids., A patient has a suspected blockage in a branch of the inferior mesenteric artery causing abdominal pain. The physician uses selective catheterization to reach the affected artery, inject contrast, and visualize blood flow. This allows the physician to evaluate the location and severity of the blockage.
Documentation should include details about the access site (e.g., femoral, radial), the approach used (ipsilateral or contralateral), the highest level of catheter placement within each vascular family, any additional branch vessels catheterized, and any variant anatomy encountered.The report should also include the results of the imaging study and any interventions performed.
- Revenue Code: P2F
- Specialties:Interventional Radiology, Vascular Surgery, Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center