Coding Information for Diagnostic Abdominal Aortography and Renal Angiography
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims.
N/A
Revenue Codes:
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes.
032X Radiology – Diagnostic – General Classification
033X Radiology – Therapeutic and/or Chemotherapy Administration – General Classification
034X Nuclear Medicine – General Classification
035X CT Scan – General Classification
040X Other Imaging Services – General Classification
061X Magnetic Resonance Technology (MRT) – General Classification
CPT/HCPCS Codes
Group 1 Paragraph:
This policy does not take precedence over the Correct Coding Initiative (CCI). Consult current correct coding guidelines for applicable specific code combinations or reductions in payment due to specific codes billed.
The following short descriptors are in accordance with the AMA copyright. Please refer to the current CPT book for full descriptions.
Group 1 Codes:
36200Place catheter in aorta
36245Ins cath abd/l-ext art 1st
36246Ins cath abd/l-ext art 2nd
36247Ins cath abd/l-ext art 3rd
36248Ins cath abd/l-ext art addl
36251Ins cath ren art 1st unilat
36252Ins cath ren art 1st bilat
36253Ins cath ren art 2nd+ unilat
36254Ins cath ren art 2nd+ bilat
75625Contrast exam abdominl aorta
75630X-ray aorta leg arteries
75726Artery x-rays abdomen
G0278Iliac art angio,cardiac cath
ICD-9 Codes that Support Medical Necessity
Group 1 Paragraph: N/A
Group 1 Codes:
152.0 – 152.9
MALIGNANT NEOPLASM OF DUODENUM – MALIGNANT NEOPLASM OF SMALL INTESTINE UNSPECIFIED SITE
155.0 – 155.2
MALIGNANT NEOPLASM OF LIVER PRIMARY – MALIGNANT NEOPLASM OF LIVER NOT SPECIFIED AS PRIMARY OR SECONDARY
156.0MALIGNANT NEOPLASM OF GALLBLADDER
156.1MALIGNANT NEOPLASM OF EXTRAHEPATIC BILE DUCTS
156.8MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF GALLBLADDER AND EXTRAHEPATIC BILE DUCTS
159.0 – 159.9
MALIGNANT NEOPLASM OF INTESTINAL TRACT PART UNSPECIFIED – MALIGNANT NEOPLASM OF ILL-DEFINED SITES WITHIN THE DIGESTIVE ORGANS AND PERITONEUM
189.0MALIGNANT NEOPLASM OF KIDNEY EXCEPT PELVIS
189.1MALIGNANT NEOPLASM OF RENAL PELVIS
197.7MALIGNANT NEOPLASM OF LIVER SECONDARY
198.0SECONDARY MALIGNANT NEOPLASM OF KIDNEY
209.72SECONDARY NEUROENDOCRINE TUMOR OF LIVER
223.0BENIGN NEOPLASM OF KIDNEY EXCEPT PELVIS
223.1BENIGN NEOPLASM OF RENAL PELVIS
233.9CARCINOMA IN SITU OF OTHER AND UNSPECIFIED URINARY ORGANS
239.0NEOPLASM OF UNSPECIFIED NATURE OF DIGESTIVE SYSTEM
401.0MALIGNANT ESSENTIAL HYPERTENSION
403.00HYPERTENSIVE CHRONIC KIDNEY DISEASE, MALIGNANT, WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR UNSPECIFIED
403.01HYPERTENSIVE CHRONIC KIDNEY DISEASE, MALIGNANT, WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE
404.01HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR UNSPECIFIED
404.02HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITHOUT HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE
404.03HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE
405.01MALIGNANT RENOVASCULAR HYPERTENSION
405.11BENIGN RENOVASCULAR HYPERTENSION
405.91UNSPECIFIED RENOVASCULAR HYPERTENSION
440.0ATHEROSCLEROSIS OF AORTA
440.1ATHEROSCLEROSIS OF RENAL ARTERY
440.20 – 440.32*
ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED – ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT OF THE EXTREMITIES
441.00 – 441.9
DISSECTION OF AORTA ANEURYSM UNSPECIFIED SITE – AORTIC ANEURYSM OF UNSPECIFIED SITE WITHOUT RUPTURE
442.1ANEURYSM OF RENAL ARTERY
442.2ANEURYSM OF ILIAC ARTERY
442.83ANEURYSM OF SPLENIC ARTERY
442.84ANEURYSM OF OTHER VISCERAL ARTERY
443.22DISSECTION OF ILIAC ARTERY
443.23DISSECTION OF RENAL ARTERY
443.9*PERIPHERAL VASCULAR DISEASE UNSPECIFIED
444.01SADDLE EMBOLUS OF ABDOMINAL AORTA
444.09OTHER ARTERIAL EMBOLISM AND THROMBOSIS OF ABDOMINAL AORTA
444.22*ARTERIAL EMBOLISM AND THROMBOSIS OF LOWER EXTREMITY
444.81EMBOLISM AND THROMBOSIS OF ILIAC ARTERY
445.02ATHEROEMBOLISM OF LOWER EXTREMITY
445.81ATHEROEMBOLISM OF KIDNEY
447.3HYPERPLASIA OF RENAL ARTERY
447.6ARTERITIS UNSPECIFIED
518.4ACUTE EDEMA OF LUNG UNSPECIFIED
557.0ACUTE VASCULAR INSUFFICIENCY OF INTESTINE
557.1CHRONIC VASCULAR INSUFFICIENCY OF INTESTINE
557.9UNSPECIFIED VASCULAR INSUFFICIENCY OF INTESTINE
572.3PORTAL HYPERTENSION
578.0HEMATEMESIS
578.1BLOOD IN STOOL
578.9HEMORRHAGE OF GASTROINTESTINAL TRACT UNSPECIFIED
593.81VASCULAR DISORDERS OF KIDNEY
593.9UNSPECIFIED DISORDER OF KIDNEY AND URETER
599.70 – 599.72
HEMATURIA, UNSPECIFIED – MICROSCOPIC HEMATURIA
747.62RENAL VESSEL ANOMALY
785.9OTHER SYMPTOMS INVOLVING CARDIOVASCULAR SYSTEM
794.4NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF KIDNEY
863.0 – 863.99
INJURY TO STOMACH WITHOUT OPEN WOUND INTO CAVITY – INJURY TO OTHER AND UNSPECIFIED GASTROINTESTINAL SITES WITH OPEN WOUND INTO CAVITY
864.00 – 864.19
UNSPECIFIED INJURY TO LIVER WITHOUT OPEN WOUND INTO CAVITY – OTHER INJURY TO LIVER WITH OPEN WOUND INTO CAVITY
865.00 – 865.19
UNSPECIFIED INJURY TO SPLEEN WITHOUT OPEN WOUND INTO CAVITY – OTHER INJURY TO SPLEEN WITH OPEN WOUND INTO CAVITY
868.00 – 868.19
INJURY TO UNSPECIFIED INTRA-ABDOMINAL ORGAN WITHOUT OPEN WOUND INTO CAVITY – INJURY TO OTHER AND MULTIPLE INTRA-ABDOMINAL ORGANS WITH OPEN WOUND INTO CAVITY
902.40INJURY TO RENAL VESSEL(S) UNSPECIFIED
959.12OTHER INJURY OF ABDOMEN
959.8OTHER AND UNSPECIFIED INJURY TO OTHER SPECIFIED SITES INCLUDING MULTIPLE
996.1MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT
996.81COMPLICATIONS OF TRANSPLANTED KIDNEY
998.11HEMORRHAGE COMPLICATING A PROCEDURE
V42.0KIDNEY REPLACED BY TRANSPLANT
V42.7LIVER REPLACED BY TRANSPLANT
V42.83PANCREAS REPLACED BY TRANSPLANT
V58.44AFTERCARE FOLLOWING ORGAN TRANSPLANT
Group 1 Medical Necessity ICD-9 Codes Asterisk Explanation:
** apply to abdominal aortography only.
ICD-9 Codes that DO NOT Support Medical Necessity
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims.
N/A
Revenue Codes:
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes.
032X Radiology – Diagnostic – General Classification
033X Radiology – Therapeutic and/or Chemotherapy Administration – General Classification
034X Nuclear Medicine – General Classification
035X CT Scan – General Classification
040X Other Imaging Services – General Classification
061X Magnetic Resonance Technology (MRT) – General Classification
CPT/HCPCS Codes
Group 1 Paragraph:
This policy does not take precedence over the Correct Coding Initiative (CCI). Consult current correct coding guidelines for applicable specific code combinations or reductions in payment due to specific codes billed.
The following short descriptors are in accordance with the AMA copyright. Please refer to the current CPT book for full descriptions.
Group 1 Codes:
36200Place catheter in aorta
36245Ins cath abd/l-ext art 1st
36246Ins cath abd/l-ext art 2nd
36247Ins cath abd/l-ext art 3rd
36248Ins cath abd/l-ext art addl
36251Ins cath ren art 1st unilat
36252Ins cath ren art 1st bilat
36253Ins cath ren art 2nd+ unilat
36254Ins cath ren art 2nd+ bilat
75625Contrast exam abdominl aorta
75630X-ray aorta leg arteries
75726Artery x-rays abdomen
G0278Iliac art angio,cardiac cath
ICD-9 Codes that Support Medical Necessity
Group 1 Paragraph: N/A
Group 1 Codes:
152.0 – 152.9
MALIGNANT NEOPLASM OF DUODENUM – MALIGNANT NEOPLASM OF SMALL INTESTINE UNSPECIFIED SITE
155.0 – 155.2
MALIGNANT NEOPLASM OF LIVER PRIMARY – MALIGNANT NEOPLASM OF LIVER NOT SPECIFIED AS PRIMARY OR SECONDARY
156.0MALIGNANT NEOPLASM OF GALLBLADDER
156.1MALIGNANT NEOPLASM OF EXTRAHEPATIC BILE DUCTS
156.8MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF GALLBLADDER AND EXTRAHEPATIC BILE DUCTS
159.0 – 159.9
MALIGNANT NEOPLASM OF INTESTINAL TRACT PART UNSPECIFIED – MALIGNANT NEOPLASM OF ILL-DEFINED SITES WITHIN THE DIGESTIVE ORGANS AND PERITONEUM
189.0MALIGNANT NEOPLASM OF KIDNEY EXCEPT PELVIS
189.1MALIGNANT NEOPLASM OF RENAL PELVIS
197.7MALIGNANT NEOPLASM OF LIVER SECONDARY
198.0SECONDARY MALIGNANT NEOPLASM OF KIDNEY
209.72SECONDARY NEUROENDOCRINE TUMOR OF LIVER
223.0BENIGN NEOPLASM OF KIDNEY EXCEPT PELVIS
223.1BENIGN NEOPLASM OF RENAL PELVIS
233.9CARCINOMA IN SITU OF OTHER AND UNSPECIFIED URINARY ORGANS
239.0NEOPLASM OF UNSPECIFIED NATURE OF DIGESTIVE SYSTEM
401.0MALIGNANT ESSENTIAL HYPERTENSION
403.00HYPERTENSIVE CHRONIC KIDNEY DISEASE, MALIGNANT, WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR UNSPECIFIED
403.01HYPERTENSIVE CHRONIC KIDNEY DISEASE, MALIGNANT, WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE
404.01HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR UNSPECIFIED
404.02HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITHOUT HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE
404.03HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE
405.01MALIGNANT RENOVASCULAR HYPERTENSION
405.11BENIGN RENOVASCULAR HYPERTENSION
405.91UNSPECIFIED RENOVASCULAR HYPERTENSION
440.0ATHEROSCLEROSIS OF AORTA
440.1ATHEROSCLEROSIS OF RENAL ARTERY
440.20 – 440.32*
ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED – ATHEROSCLEROSIS OF NONAUTOLOGOUS BIOLOGICAL BYPASS GRAFT OF THE EXTREMITIES
441.00 – 441.9
DISSECTION OF AORTA ANEURYSM UNSPECIFIED SITE – AORTIC ANEURYSM OF UNSPECIFIED SITE WITHOUT RUPTURE
442.1ANEURYSM OF RENAL ARTERY
442.2ANEURYSM OF ILIAC ARTERY
442.83ANEURYSM OF SPLENIC ARTERY
442.84ANEURYSM OF OTHER VISCERAL ARTERY
443.22DISSECTION OF ILIAC ARTERY
443.23DISSECTION OF RENAL ARTERY
443.9*PERIPHERAL VASCULAR DISEASE UNSPECIFIED
444.01SADDLE EMBOLUS OF ABDOMINAL AORTA
444.09OTHER ARTERIAL EMBOLISM AND THROMBOSIS OF ABDOMINAL AORTA
444.22*ARTERIAL EMBOLISM AND THROMBOSIS OF LOWER EXTREMITY
444.81EMBOLISM AND THROMBOSIS OF ILIAC ARTERY
445.02ATHEROEMBOLISM OF LOWER EXTREMITY
445.81ATHEROEMBOLISM OF KIDNEY
447.3HYPERPLASIA OF RENAL ARTERY
447.6ARTERITIS UNSPECIFIED
518.4ACUTE EDEMA OF LUNG UNSPECIFIED
557.0ACUTE VASCULAR INSUFFICIENCY OF INTESTINE
557.1CHRONIC VASCULAR INSUFFICIENCY OF INTESTINE
557.9UNSPECIFIED VASCULAR INSUFFICIENCY OF INTESTINE
572.3PORTAL HYPERTENSION
578.0HEMATEMESIS
578.1BLOOD IN STOOL
578.9HEMORRHAGE OF GASTROINTESTINAL TRACT UNSPECIFIED
593.81VASCULAR DISORDERS OF KIDNEY
593.9UNSPECIFIED DISORDER OF KIDNEY AND URETER
599.70 – 599.72
HEMATURIA, UNSPECIFIED – MICROSCOPIC HEMATURIA
747.62RENAL VESSEL ANOMALY
785.9OTHER SYMPTOMS INVOLVING CARDIOVASCULAR SYSTEM
794.4NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF KIDNEY
863.0 – 863.99
INJURY TO STOMACH WITHOUT OPEN WOUND INTO CAVITY – INJURY TO OTHER AND UNSPECIFIED GASTROINTESTINAL SITES WITH OPEN WOUND INTO CAVITY
864.00 – 864.19
UNSPECIFIED INJURY TO LIVER WITHOUT OPEN WOUND INTO CAVITY – OTHER INJURY TO LIVER WITH OPEN WOUND INTO CAVITY
865.00 – 865.19
UNSPECIFIED INJURY TO SPLEEN WITHOUT OPEN WOUND INTO CAVITY – OTHER INJURY TO SPLEEN WITH OPEN WOUND INTO CAVITY
868.00 – 868.19
INJURY TO UNSPECIFIED INTRA-ABDOMINAL ORGAN WITHOUT OPEN WOUND INTO CAVITY – INJURY TO OTHER AND MULTIPLE INTRA-ABDOMINAL ORGANS WITH OPEN WOUND INTO CAVITY
902.40INJURY TO RENAL VESSEL(S) UNSPECIFIED
959.12OTHER INJURY OF ABDOMEN
959.8OTHER AND UNSPECIFIED INJURY TO OTHER SPECIFIED SITES INCLUDING MULTIPLE
996.1MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT
996.81COMPLICATIONS OF TRANSPLANTED KIDNEY
998.11HEMORRHAGE COMPLICATING A PROCEDURE
V42.0KIDNEY REPLACED BY TRANSPLANT
V42.7LIVER REPLACED BY TRANSPLANT
V42.83PANCREAS REPLACED BY TRANSPLANT
V58.44AFTERCARE FOLLOWING ORGAN TRANSPLANT
Group 1 Medical Necessity ICD-9 Codes Asterisk Explanation:
** apply to abdominal aortography only.
ICD-9 Codes that DO NOT Support Medical Necessity