CPT Vascular Interventional Radiology Series

Objectives

Part 1:

• Identify the four types of vascular systems
• Differentiate between nonselective and selective catheterization
• Distinguish selective imaging from nonselective imaging
• Identify vascular families on an anatomical diagram
• Distinguish between carotid and vertebral artery circulation
• Identify situations in which an arch aortogram is bundled into other imaging
• List the cervicocerebral angiography codes in the order of the hierarchy
• Apply the order of selectivity to assign catheterization codes for upper extremity angiography
• Determine when to use codes for retrograde brachial angiography
• Distinguish between subclavian injection for cervicocerebral angiography and upper extremity angiography
• Distinguish between thoracic aortogram and arch aortogram
• Determine when to use codes for visceral angiography when the intercostals are injected

Part 2:

• Determine when a flush aortogram is bundled
• Differentiate between bundled and component coding for renal and other visceral angiography
• Identify three major vascular families off the abdominal aorta
• Distinguish between pelvic arteries and arteries of the lower extremity
• Determine when to use selective pelvic angiography codes
• Apply order of selectivity to determine appropriate catheterization codes
• Assign codes to various types of run-off procedures

Part 3:

• Differentiate between different types of revascularization procedures
• Determine when a diagnostic angiography can be coded in addition to a vascular intervention
• Determine when to use codes from the cardiovascular subsection and nervous system subsection when reporting angioplasty and stenting of the carotid arteries and intracranial arteries
• Differentiate between cervical and intrathoracic carotid arteries
• Place revascularization procedures in order according to the hierarchy
• Match leg arteries to their respective territories
• Determine how many codes can be assigned per territory and per leg
• Identify procedures that are bundled into lower extremity revascularization procedure codes
• Place revascularization procedures in order according to the hierarchy
• Match leg arteries to their respective territories
• Determine how many codes can be assigned per territory and per leg
• Identify procedures that are bundled into lower extremity revascularization procedure codes

Part 4:

• Identify the order of selectivity of the venous system
• Determine which venous vascular interventions require a bundled versus a component coding approach
• Differentiate between the peripheral and central segments of the dialysis circuit
• Apply the dialysis circuit code hierarchy rules to coding scenarios
• Determine when to use arterial versus venous codes for cases involving bypass grafts

Part 5:

• Determine when transcatheter thrombolysis codes are reportable
• Differentiate between primary and secondary thrombectomy
• Classify various vascular conditions as hemorrhage, tumor, and other indications for embolization
• Determine when to use S&I codes for embolization procedures and follow-up angiography following embolization

Part 6:

• Identify the pulmonary arteries as nonselective, selective, or segmental
• Determine when to use code 75774 for additional pulmonary artery imaging
• Assign codes for portal vein catheterization
• Identify the veins CPT classifies as central veins
• Differentiate between a centrally placed and peripherally placed central catheter
• Determine when to use removal vs. replacement codes for central venous catheters
• Indicate situations where it is appropriate to code imaging guidance for central venous catheter placement

Part 7:

• Identify the components of some common abdominal aorta stent graft devices
• Determine when to code extension grafts
• Identify procedures that are bundled into thoracic aneurysm repair codes
• Determine which procedures can be coded during the same episode as fenestrated endovascular aneurysm repair (FEVAR) placement