Cpt code for aortogram

Mar 27, 2013 · 178. Best answers. 0. Mar 27, 2013. #1. ARCH AORTOGRAM, LEFT SUBCLAVIAN ARTERY ARTERIOGRAM, LEFT SUBCLAVIAN ARTERY ANGIOPLASTY AND STENT PLACEMENT. Timeout was performed. Skin over the right and left groins were prepped and drapped sterilely; 2% lidocaine was used as a local anesthetic. Moderate sedation was also administered.

No. specific abnormal blood vessels were demonstrated on the thoracic. aortogram. Multiple guidewires and catheter combinations were. utilized in attempts to selectively catheterize the intercostal or. the bronchial arteries. Selective catheterizations were not. possible. This included the use of a McKesson catheter, US2.CPT® code 75630 describes abdominal aortography with bilateral iliofemoral runoff from this single high catheter position. More commonly, the catheter will be …In those cases where 36252 is appropriate, payers may bundle in +93567 and 75625 depending on medical necessity. RS&I is included in 36252, so note that 75724 (Angiography, renal, bilateral, selective [including flush aortogram], radiological supervision and interpretation) has been deleted and is no longer a valid code.Best answers. 0. Mar 20, 2024. #1. Need clarification on code 36200 (Introduction of catheter, aorta). When the physician does an abdominal aortogram with run off and the catheter is in the descending aorta, would you code the 36200 with the bilateral run off or does the catheter need to be above the kidneys to code the 36200? Thank you.CPT Code 75625, Diagnostic Radiology (Diagnostic Imaging) Procedures of the Vascular System, Diagnostic Radiology (Diagnostic Imaging) Procedures of t. ... recurrent diastolic heart failure and uncontrolled HTN. Dr. did a right renal stent and abdominal aortogram. Codes inputed were 37236-RT and 75625 26,5... [ Read More ] …

Abdominal aortogram with run -off ; 75625 . Abdominal aortogram ; 75710 . Unilateral extremity ; 75716 . Bilateral extremity +75774 . Additional artery angiogramSeabrook GR. Current Procedural Terminology (CPT) coding for descending thoracic aorta endovascular repair. J Vasc Surg. 2006 Feb. 43 Suppl A:106A-110A. [QxMD MEDLINE Link]. Hong X, Lin Y, Xie X, Huang Y, Chen G, Chen Y, et al. Long-term outcomes of thoracic endovascular aortic repair for chronic Stanford type B aortic dissection.INSIDE THIS GUIDE • Hospital Inpatient Codes and 2024 Payments • Outpatient Codes and 2024 Payments (Hospital, OBL, ASC) • Physician 2024 Payment and RVUsAnswer: You would report 36247 ( Selective catheter placement, arterial system; initial third-order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family) for the selective catheter placement in the left superficial femoral artery (SFA). Next, report 75625 ( Aortography, abdominal, by serialography ...A: Report both codes 35883 and code 34201 (Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision. Complications. If you were thinking about code 35875, thrombectomy of arterial or venous graft (other than dialysis graft or fistula) this code has 2 issues. When vascular imaging of the aorta and both legs, i.e., CTA aortogram and runoff is desired (sometimes incorrectly requested as Abd/Pelvis CTA & Lower Extremity CTA Runoff), only one authorization request is required, using CPT Code 75635 Abdominal Arteries CTA. This study provides for imaging of the abdomen, pelvis, and both legs. Article revised and published on 11/21/2019. Consistent with CMS Change Request 10901, all coding information from the related LCD has been placed into this article. Due to system changes, the order of the Coding Section has been revised and new sections for CPT/HCPCS Modifiers and Other Coding Information have been added.

CPT Code: Description: 36251: 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 …Peripheral Vascular. Boston Scientific annually updates and provides procedural coding and reimbursement information for inpatient, outpatient, office, and ASC settings. Click on our guides to easily look up CPT codes, ICD-10 codes, physician RVUs, and Medicare national average reimbursement rates for peripheral interventions. TIP: Use "Crtl ...Common femoral (CPT code 35371), iliofemoral (CPT code 35355), superficial femoral (CPT code 35302), or deep femoral (CPT code 35372) endarterectomy may be performed in addition to any endovascular treatment. Only one of the four open surgery CPT codes listed above is reported per groin treated.Medical Coding. Cardiology . Wiki Abdominal Aortogram (75625-26) - need ICD-10 code. Thread starter JS81coder; Start date Mar 18, 2018; Create Wiki J. JS81coder Contributor ... ABDOMINAL AORTOGRAM: *There is no significant disease in bilateral iliac and femoral arteries. *

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Oct 24, 2013. #1. 10/24/13. Guys, In the following procedure, dr. states she does an aortogram and documents an angiography of the renal arteries which catheter is still in the aorta. She then selectively catheterizes the left renal artery and does an angiography there. Then, the left renal artery angioplasty.I'm struggling with the aortogram. Can I code for the Swanz since it's left in or would it be included. Thank you! RT & LT cath (ventriculogram)- 93460-26. Impella- 33990. aortogram ? 93567 or 75625-26. iliac and femoral angiography- 75710-26. Cardiac Catheterization. DATE: 08/07/2017.Under Article Text added the sentence that reads: " Refer to the Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease L38278 LCD and related billing and coding article A58406 for more information regarding the use of add-on analysis of CCTA.". Under CPT/HCPCS Codes - Group 1: Codes deleted codes 0501T, 0502T, 0503T ...ct/cta, pet/ct ct/cta - head & neck 70450 – head w/o 70460 – head w/ 70470 – head w/o & w/ 70496 – angio of head 70480 – orbit/iac w/o 70481 – orbit/iac w/ Chat with a Referral Specialist Monday - Friday, 8:00 am – 5:00 pm PDT. Or call (888) 834-1788. The following doctors are part of the Sutter Health network. Learn about the doctors on this site. This test uses injected dye and X-rays to help uncover problems with your aorta, the main artery that carries blood to your abdomen and lower body.

Here is what I found in reading this report. There is two catheter positions used in the procedure. So I would bill 75625- Abdominal Aorta, and 75716 for bilateral extremity arteriogram. If the catheter was not moved from the origional position, then you bill 75630 for abdominal aortogram w/ run-offs.Article revised and published on 11/21/2019. Consistent with CMS Change Request 10901, all coding information from the related LCD has been placed into this article. Due to system changes, the order of the Coding Section has been revised and new sections for CPT/HCPCS Modifiers and Other Coding Information have been added.Can we code thoracic aortogram w/ right internal carotid stent. Date: Nov 6, 2017. Question: It sounds like the surgeon feels the thoracic aortogram is supported for coding as diagnostic separately. CPT code 37215 includes diagnostic imaging of the carotids, but what about the other findings he had from the thoracic aortogram? ...It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 75630 and G0278.CPT code 73706 plus CPT code 74175 shall not be reported in lieu of CPT code 75635. CPT code 77063 is an Add-on Code (AOC) describing screening digital tomosynthesis for mammography. ... CPT code 75625 for abdominal aortogram) includes abdominal x-rays (e.g., CPT codes 74018-74022) as part of the total service. ...The concept behind bundled codes is not new to anyone familiar with coding for interventional radiology procedures, and it’s no surprise that complete codes (including catheterization and imaging) exist for arch, carotid and vertebral angiography–CPT® codes 36221-36228.Like other code sets, these codes are built on a hierarchy, meaning the …Either code (31625 & 31641) includes the CPT 31622 bronchos- copy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (sepa- rate procedure) so this code would not be added. For hospital outpatient facilities you may also report HCPCS code C2618 -Probe/needle, cryoablation.0. Jan 14, 2013. #1. What would be the CPT code for thoracic arch aortogram in this case. Catheter placed from a right femoral puncture into the aortic arch and an aorotgram was performed. The catheter was then directed into the laft axillary artery and angiogram of the upper extremity was performed. Would this be 36221 for the thoracic arch ...

HCPCS Code G0278 for Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same tim ... Match supply and drug codes in a snap. View corresponding CPT® codes and their definitions. Compliance Tools. Tabs. Fee Schedules LCD Lookup ... LHC w/aortogram and peripheral angiography.

36222, Under Diagnostic Studies of Cervicocerebral Arteries. The Current Procedural Terminology (CPT ®) code 36222 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Studies of Cervicocerebral Arteries.CPT codes 34710 and 34711 are used for delayed placement of the extension prosthesis(es) not performed at the same operative session as CPT codes 34701-34709. Endovascular repair with rupture or for other than rupture Endovascular repair in the aortic or iliac arteries for acute rupture is reported using CPT codes 34702, 34704, 34706, or …coverage physician coding hospital inpatient additional codes intro laac coverage physician coding procedural imaging hospital inpatient additional codes effective dates: october 1, 2022 - september 30, 2023 coding and reimbursement for laac icd-10-cm diagnosis code code descriptorMedical Coding. Cardiology . Wiki Left heart cath, abdominal aortogram with runoffs, ascending aortogram with runoffs. Thread starter ... After it was done, because of the presence of the graft, ascending aortogram was performed to look for extra grafts; however, no extra grafts were found and because of difficulty of entry, an abdominal ...Coding. 37221: iliac stent placement, initial vessel. 36246-59: second-order selective catheter placement, branch of abdominal aorta. 75625-59: RS&I, abdominal aortography. 75716-59: RS&I, bilateral lower extremity angiography.Coding Left Heart Cath and Aortography — VIDEO. May 15, 2013 by Laureen Jandroep. Someone needs help with this procedure that they were given. This came out, and what I'm assuming when I was reading this earlier is that this is a list of what they did. A lot of times in this report, you'll see it listed 1, 2, 3, 4.Cpt code for abdominal aortogram with runoff is 75630, while Cpt Code for abdominal aortogram without runoff is 75625. The technique of abdominal aortography is there for a long time. This procedure is simple, and very little special equipment is necessary. In terms of effecting related vessels, it is considered harmless.Some Netflix-enabled devices require an activation code in order to link your account. We cover what that means and how you can begin binge watching right now By Jason Cipriani Net...

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Abdominal aortogram. ... Right and left heart catheterization CPT code: 93526-26 Injection procedure CPT code: 93543, 93545 Imaging supervision CPT code: ...CPT 75630: Aortography, abdominal plus bilateral iliofemoral lower extremity, by serialography, including radiological supervision and interpretation. As you can see, CPT 75625 states “aortography abdominal” (referring to an aortogram of the abdominal …For instance, if your cardiologist performs the extremity angiograms during different encounters, you can add modifier 59 ( Distinct procedural service) to 75710 -- the lesser-valued code. Also, if your cardiologist exams three extremities (both legs, 75716, and one arm, 75710), you can add modifier 59 to 75710, says Sandy Fuller, CPC ...CPT code 75630 describes abdominal aortography plus bilateral iliofemoral lower extremity catheter by serialography (multiple images). An aortogram with run-off procedure is performed by placing the catheter at a level above the renal arteries. This procedure does not require imaging of the entire lower extremity.This cases present questions regarding coding for thoracic and abdominal aortagrams. Questions arise in using the codes 36221,75605,75625 and 36200. I am not sure if there is redundancy between 36221,75605,75625 although there appear to be medical necessity and documentation for these codes. I do recieve a CCI edit for 36221 and 75605.CPT. ®. 76882, Under Diagnostic Ultrasound Procedures of the Extremities. The Current Procedural Terminology (CPT ®) code 76882 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Ultrasound Procedures of the Extremities.A CT angiogram is a way of looking at the blood vessels in different parts of your body. A small cannula is placed in a vein in your arm and then IV contrast is injected at a fast rate while you are in the CT scanner. The scanner will image the part of your body that your doctor wants assessed. The CT scanner can reconstruct the images in 3D to ...Vascular Coding Worksheet . Patient: Iliac. Date: 37223 0238T CPT Abbreviated Description 26 x 75630 Abdominal aortogram with run-off 75625 Abdominal aortogram 75710 Unilateral extremity 75716 Bilateral extremity 75774 Additional artery angiogram Diagnostic CPT Abbreviated Description x 36140 Catheterization 36245 Lower extremity cath, first order ….

In the healthcare industry, accurate documentation and coding are crucial for maximizing revenue and ensuring proper reimbursement. One important aspect of this process is the Nati...75625: Abdominal Serialography. Full and complete abdominal aortogram per f orme d (1 or more proj ecti ons) Catheter repositioned in aorta (2nd injection). With full and complete exam of ileofemoral and lower extremity arteries‐code also 75716 (bilateral) Level of renal arteries and level of bifurcation.CPT code 23350 defines the injection of contrast into the shoulder joint for either a radiographic and fluoroscopic arthrogram (CPT 73040), a CT arthrogram (CPT 73201), or MR arthrogram (CPT 73222). If an injection is done prior to a CT or MR arthrogram and fluoro guidance is used for guiding the injection, then you can report CPT code 77002 as ...CPT code 36215 as a first-order catheterization regardless of the initial artery punctured. If multiple intercostal arter-ies require evaluation or treatment, or both, each vessel ... Imaging generally begins with an arch aortogram that includes a description of the great vessel origins (CPT code 75650) or descending thoracic aortography (CPT codeKnow that each code includes catheter placement (s) and radiological supervision and interpretation. Accessory renal arteries are included and not coded separately. Flush aortography (75625) is also included in 36251–36254 and not coded separately. The abdominal arterial system is a common site of many anomalous arterial locations.Medical Coding General Discussion . Wiki ARTERIOGRAM CORRECT BILLING CODES. Thread starter debcoder2016; Start date Jul 15, 2019; Create Wiki Sort ... A 5.0 Fr Omniflush catheter was advanced to the abdominal aorta and aortogram was performed with bilateral pelvic obliques. The combination of a C2 catheter and angled glidewire were used to ...the dr performed the following procedure; not sure of the cpt codes. need assistance please. 1. Aortogram. 2. Bilateral selective renal angiogram. 3. Nonselective left lower extremity angiography. 4. Additional arterial access. 5. PTA and stenting of the right renal artery. 6. PTA and...CPT is a registered trademark of the American Medical Association. Dorsalis Pedis. CPT . Procedure. 26 x. Abdominal aortogram with run-off. 75630. Diagnostic.Room air was used as a radiographic contrast (Rotenberg 1914) prior to the use of carbon dioxide (CO2) (Rosenstein 1921). The first intravascular contrast to be used in humans in 1924 was a liquid (Brooks 1924). Decades later, CO2 was studied in the arteries and veins of human patients, first via needle injection (Barrera 1956) and then via catheter delivery.[1]2011 Guidelines for Lower Extremity Arterial Revascularization Procedures. The following guidelines apply to codes 37220‐37235, and refer to interventions described by angioplasty, atherectomy and stent placement for treatment of occlusive vascular disease. Angioplasty utilizes a balloon to dilate a hemodynamically significant vessel stenosis. Cpt code for aortogram, Experts offer three tips for improving your IVUS reporting: 1. Pair IVUS With Primary Procedures. Both the coronary and peripheral IVUS codes are add-on codes, so don't try reporting them without the accompanying primary service, or you'll face denials, Davis says. When cardiologists perform IVUS with coronary interventions, including stenting ..., DESCRIPTION PROCEDURE: Adequate IV sedation. Lidocaine into right groin. Seldinger. technique 6 french sheath placed in common femoral artery. w.o complications. Exchanges done over wire, first pigtail. place din aorta and aortogram was performed of renal. and infrarenal aorta. Pigtail pulled back and nonselective., What CPT® code(s) is/are reported for the nuclear medicine exam? 78015. A patient who may have a stricture of the artery is undergoing an aortogram in which the left femoral artery was cannulated with a catheter advanced into the infrarenal abdominal aorta. Contrast medium was injected, and films taken by serialography showing the aortoiliac ..., Webapp Codecademy teaches you how to code using an interactive console, motivates you with badges, and walks you through lessons in a straightforward curriculum. Best of all, it's ..., Completion angiography shows successful closure of the flow to the tumor. Coding. Option 1: If one performs diagnostic angiography in this case, the codes reported would be: 36253: Unilateral superselective diagnostic renal angiogram. 37204, 75896, 75898: Embolization of renal arteries for a tumor., Can someone please help me with the CPT coding of an open repair of juxtarenal ruptured abdominal aortic aneurysm? Below is the op note: The abdomen was prepped and drpaed in rapid fasion, loban was placed. There was no free blood within the abdominal compartment. The retroperitoneum was densely stained along the left portion of the aorta and ..., ct/cta, pet/ct ct/cta - head & neck 70450 - head w/o 70460 - head w/ 70470 - head w/o & w/ 70496 - angio of head 70480 - orbit/iac w/o 70481 - orbit/iac w/, 2011 Guidelines for Lower Extremity Arterial Revascularization Procedures. The following guidelines apply to codes 37220‐37235, and refer to interventions described by angioplasty, atherectomy and stent placement for treatment of occlusive vascular disease. Angioplasty utilizes a balloon to dilate a hemodynamically significant vessel stenosis., Need a report to confirm the codes. But just looking at it, 36247 and 36140 are bundled into the intervention, so it needs to be removed. If the catheter was moved from upper abd. aorta to the lower abd. aorta, and the renals are reported, then you have 75625-26-59, 75716-26-59. If the renals are not reported, then bill just 75716-26-59., CPT® 2022 makes some changes that will affect how you report these services. Upper extremity artery: Two changes affect how you'll report an upper extremity artery harvest for CABG. First, revised code 35600 (Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open) adds "open" to the code descriptor., 1. Abdominal aortogram. 2. Bilateral lower extremity angiogram with runoff. 3. Percutaneous intervention of proximal, mid, and distal right SFA using Eluvia drug-eluting stents. Drug-coated balloon angioplasty of right popliteal artery and force balloon angioplasty of right TPT trunk/peroneal artery. 4., Medical Coding. Cardiology . Wiki Abdominal Aortogram (75625-26) - need ICD-10 code. Thread starter JS81coder; Start date Mar 18, 2018; Create Wiki J. JS81coder Contributor ... ABDOMINAL AORTOGRAM: *There is no significant disease in bilateral iliac and femoral arteries. *, Chat with a Referral Specialist Monday - Friday, 8:00 am - 5:00 pm PDT. Or call (888) 834-1788. The following doctors are part of the Sutter Health network. Learn about the doctors on this site. This test uses injected dye and X-rays to help uncover problems with your aorta, the main artery that carries blood to your abdomen and lower body., A complete ultrasound examination of an extremity (76881) consists of real time scans of a specific joint that includes examination of the muscles, tendons, joint, other soft tissue structures, and any identifiable abnormality. Code 76882 refers to an examination of an extremity that would be performed primarily for evaluation of muscles ..., This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35092, Diagnostic Abdominal Aortography and Renal Angiography. Please refer to the LCD for reasonable and necessary requirements. Coding Guidance., CPT Codes: 74174 Last Revised Date: March 2023 Guideline Number: NIA_CG_069 Implementation Date: January 2024 . ... CTA aortogram and runoff is desired (sometimes incorrectly requested as Abd/Pelvis CTA & Lower Extremity CTA Runoff), only one authorization request is required, using CPT Code 75635 Abdominal Arteries CTA., A computerized tomography (CT) coronary angiogram is an imaging test that looks at the arteries that supply blood to the heart. A CT coronary angiogram uses a powerful X-ray machine to produce images of the heart and its blood vessels. The test is used to diagnose a variety of heart conditions. The procedure is noninvasive and doesn't require ..., The radiology S&I for the renal angiogram, the aortogram and the work of selectively catheterizing the bilateral renal arteries/branches is all included in CPT 36252. Catheter placements are not included in CPT 37236 but because you are already being paid for catheter placements in the same arteries with the 36252, they should not be reported ..., CPT Code 75630, Diagnostic Radiology (Diagnostic Imaging) Procedures of the Vascular System, Diagnostic Radiology (Diagnostic Imaging) Procedures of t. Select. Code Sets; ... The aortogram was probable used for the closure devices as I do not see enough information to support using 75630. HTH, J... [ Read More ], INTRO PHYSICIAN CODING HOSPITAL OUTPATIENT HOSPITAL INPATIENT ADDITIONAL CODES 21 A A R Reserv AP21US Rev C 3 of 13 C US PAGE 1 PAGE 2 PAGE 3 Physician1 CPT‡ CODE DESCRIPTION WORK RVU NATIONAL MEDICARE RATE FACILITY NON FACILITY 92920 Percutaneous transluminal coronary …, Medical Coding. Cardiovascular Thoracic . Wiki aortogram. Thread starter hpgh; Start date Oct 25, 2010; Create Wiki H. hpgh Contributor. Messages 14 Location Brodhead, Kentucky Best answers 0. Oct 25, 2010 #1 both groins were prepped. wire placed in the right common femoral artery followed by a 6-French sheath. ... A flush aortogram was done ..., CPT codes can be modified under certain circumstances. There are various modifiers that are used with the 30000 series codes to assist the carriers in making proper payment determination. ... a diagnostic study was performed by placing the catheter nonselectively into the aorta for performing an aortogram with run off. In this case, the CPT ..., It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 75630 and G0278., Right heart catheterization. 93451. Left heart catheterization, inc. left ventriculography. 93452. Combined left and right heart catheterization, inc. left ventriculography. 93453. Coronary angiography. 93454. Coronary angiography w/o left or right heart cath, with angiography of bypass graft(s), What CPT® codes are reported?` 36200 7516-26 75625-26. ... Left and right heart catheterization, selective coronary angiogram, left ventriculogram, ascending aortogram to access the aortic root, descending aortogram, right iliac angiogram, Perclose closure. Access is from the right femoral artery and right femoral veinCardiac catheterization ..., You’ve probably seen somewhere someone saying coding vs scripting. When I first saw that, I thought that those two are the same things, but the more I learned I found out that ther..., the dr performed the following procedure; not sure of the cpt codes. need assistance please. 1. Aortogram. 2. Bilateral selective renal angiogram. 3. Nonselective left lower extremity angiography. 4. Additional arterial access. 5. PTA and stenting of the right renal artery. 6. PTA and..., CODING EXAMPLES When coding for interventional services, we always start with the puncture site and final position of the catheter within any given vascular family. ... a diagnostic study was performed by placing the catheter nonselectively into the aorta for performing an aortogram with run off. In this case, the CPT codes would be: •36200 ..., The dx. part is billable as long as there was not a previous angio within 3 months, and you add modifier -59 or -XU. Any intervention, you lose the catheter placement codes. 75630 is abdominal aortogram WITH RUN-OFFS. So with that, the extremity imaging codes cannot be used with 75630 (either 75710 or 75716)., Wiki Cpt code for arch angiogram. Thread starter OPENSHAW; Start date Aug 13, 2012; Create Wiki O. OPENSHAW Guru. Messages 114 Location Bacliss, Texas Best answers 0. ... I do know the code for arch aortogram is 75650-26. If not a bovine your cath placement codes could be: RCCA - 36216, LCCA - 36215 and 75680-26. HTH . O. …, Mesenteric arterial anatomy. An understanding of mesenteric arterial anatomy is crucial to understanding and managing these patients. The gastrointestinal tract is supplied by the celiac trunk, the superior mesenteric artery (SMA), and the inferior mesenteric artery (IMA) [].The celiac trunk originates from the anterior aorta just below the diaphragm at the level of the thoracic vertebrae 12 ..., For instance, if your cardiologist performs the extremity angiograms during different encounters, you can add modifier 59 ( Distinct procedural service) to 75710 -- the lesser-valued code. Also, if your cardiologist exams three extremities (both legs, 75716, and one arm, 75710), you can add modifier 59 to 75710, says Sandy Fuller, CPC ..., Approach: Left groin puncture, diagnostic aortogram, and bilateral runoff with S&I with catheter positioned in the aorta. The cath-eter is then placed over the bifurcation into the right common femoral artery (CFA) and exchanged for a sheath. ... Procedure/ServiceCPT* Code CPT Code Description Modifier Rationale Catheter access (left CFA access ...