2025 CPT code 36299
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Unlisted vascular injection procedure.
Modifiers may apply based on the specific circumstances of the procedure.Consult the CPT manual for guidance on appropriate modifier usage.
Medical necessity must be clearly documented by explaining the clinical indication for the unlisted vascular injection, including the diagnosis, the patient's symptoms, and why the procedure was deemed necessary.The rationale for selecting this unlisted procedure over any other available code must be justified.Documentation should demonstrate that the procedure was appropriate and consistent with the patient's clinical presentation.
The physician is responsible for performing the vascular injection, including pre- and post-procedure care specific to the injection. This involves proper selection of the injection site, administering local anesthesia (if necessary), inserting the catheter or needle, injecting the contrast media, and monitoring the patient's response.
In simple words: This code is used when a doctor performs a special injection into a blood vessel that isn't covered by a regular medical billing code. It includes numbing the area, inserting a needle or tube, injecting the medicine, and any special care before and after the injection.
This code reports a vascular injection procedure not specified by other CPT codes.It encompasses the necessary local anesthesia, introduction of needles or catheter, injection of contrast media (with or without automatic power injection), and pre- and post-injection care directly related to the injection.The procedure may involve selective catheterization, but only if no other specific CPT code exists to represent the complete procedure.
Example 1: A patient presents with a suspected arteriovenous malformation (AVM) in a peripheral location not easily accessible via standard catheterization techniques.The physician performs a specialized injection of contrast dye requiring a unique approach, necessitating the use of code 36299. , A patient requires an injection into a specific, unusually located vein for a targeted drug delivery system not covered by other CPT codes.The physician uses a specialized technique and this code applies., A patient needs a vascular injection for a research study utilizing a novel contrast agent, delivered through a rarely used technique, not covered by a standard CPT code. This code is appropriate.
Detailed operative report describing the exact nature of the injection procedure, including the location of the injection site, the approach used, the type and amount of contrast media administered, and any complications or unusual circumstances encountered during the procedure.Documentation should clearly explain why no other CPT code applies and list similar codes considered.
** Always submit a detailed explanation of why this unlisted code was necessary, including comparison to similar listed codes and justification for charges.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: RVUs will vary based on the complexity of the unlisted procedure and the location of service.Consult your local payer's fee schedule for specific values.
- Global Days: The global period will depend on the specifics of the procedure.This would need to be determined based on the complete procedure documentation.
- Payment Status: Active
- Modifier TC rule: TC modifier may or may not apply depending on the specifics of the procedure. Refer to the CPT manual for guidance on appropriate modifier usage.
- Fee Schedule: The fee schedule for code 36299 will vary based on geographic location, payer, and the complexity of the procedure.Consult your local payer's fee schedule for current payment rates.
- Specialties:Vascular Surgery, Interventional Radiology, Cardiology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center