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Renal Angiography for Accessory Renal Artery off the Aorta

Date: May 21, 2013

Question:

I have a case where the patient has two renal arteries coming off the aorta on the right side and an angiography was done on each. Would I report code 36251 twice because you have to come back out to the aorta to select the second renal artery, or is it coded once because the description for code 36251 mentions accessory arteries also, but does that just mean arteries that branch off the main renal? And if it is coded twice with 36251 would the second have a -59 modifier?

Question ID : 4872
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