Ask Dr. Z

We have a new physician who is using SPY Elite fluorescence imaging machine. Is there a specific CPT code for fluorescence angiography, if no prior imaging of this extremity was performed prior to this exam? Below is an example of his dictation. "U/S guided antegrade puncture of RCFA. Selective arteriography of the right SFA, popliteal and trifurcation Superselective angiography of the right AT Fluoroangiography pre-PTA of the right foot with Green Indocyanine. PTA of the right AT with 3x200 balloon at 14 atm. Repeat fluoroangiography with indocyanine green after PTA. Findings: Large ulceration, deep, of the dorsum of the right foot. Non healing for several months. Fluoroangio showed reduced perfusion of right 1st toe and R dorsum of foot. Angiography showed multiple critical stenoses of the right AT. 3mm PTA of R AT. Fluoro post PTA showed improved perfusion to 1st toe and dorsum of foot."