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second and third order selective catheterization of renal artery

Date: Oct 19, 2023

Question:

A question similar to this one was answered in 2012, and we wanted to see if there were any updates. The physician does a renal diagnostic angiogram from the main renal artery (36251). He then moves into two branches off the main renal artery for embolization of areas of extravasation (37244). Although the diagnostic angiogram was from the main artery, should we use code 36253 instead since the catheter was moved superselectively to do the embolization?

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