Ask Dr. Z

Patient had mapping for Y-90 radioembolization in future date. First selective hepatic arteriography with catheter placement in segment 6 and segment 7, cone beam CT, and MAA injection were done in IR room. Contrast use was documented. One IR report was created and findings for selective hepatic arteriography and cone beam CT were documented in one finding. Then patient was sent to NM and had SPECT with CT on the same day. SPECT CT with MAA and findings were documented in one NM report. 

 Are these coded with 75726 for selective hepatic arteriography, 36247 and 36248 for contrast injection, 76380 for cone beam CT, and 78803 SPECT CT? MAA and contrast HCPCS II codes were also added. This is for facility coding.