Ask Dr. Z

During cardiac cath on a medicare pt. the phy. documents below with one cath position. Findings are both renal and iliacs, would you code both G0275 and G0278 from just one contrast shot from the renal area? "DESCENDING AORTOGRAPHY: The descending abdominal aorta has at least moderate atherosclerotic plaquing with some aneurysmal dilation distal to the renals. The left renal artery has a cleft-like 60 to 70% stenosis. The right renal artery was not well visualized, is overlapped with the inferior mesenteric. There is mild plaquing of the left iliac artery. The left internal iliac is not well visualized. Right iliac artery is aneurysmal with mild plaquing. There is moderate plaquing seen in the right external iliac artery." Thanks! Jim H.