Ask Dr. Z

I have a case that the physician accessed the right renal artery, and right renal arteriogram was performed, demonstrating filling of the adrenal artery with supply up in to the right lobe liver mass. The right adrenal artery was selective along with an adrenal arteriogram (the adrenal artery comes off the renal artery). Chemotherapy was then infused into the right adrenal artery slowly over 20 minutes. Embolization was then performed with a combination of 100-300 and 300-500 micron particles of biospheres. Because the renal code 36251 includes the renal arteriogram, how would I code for the adrenal artery that comes off the renal artery? Would you report codes 36246 and 75731-26, or just code 36251?