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Third order selective catheterization of renal artery

Date: May 25, 2012

Question:

Dr Z My question is regarding the new renal angiography codes and embolization. The physician does a right renal diagnostic angiogram from the right main renal artery. He then moves into 3 branches off the main renal artery to embolize a renal mass (37204, 75894, 75898). Although the diagnostic angiogram was from the main artery (36251) should I use 36253 instead since the catheters were moved super-selectively to do the embolization? As always, thank you for all your help.
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