Cardiology Question for the Week of July 1, 2024

Question:

Which code should be used for selective inferior phrenic artery (IPA) arteriography when imaging the inferior phrenic arterial blood supply to the diaphragm, and which codes should be used for imaging the inferior phrenic arterial blood supply to the viscera (liver, spleen), considering the structure being imaged and catheter placement?

Answer:

Selective inferior phrenic artery (IPA) arteriography may be described by several RS&I imaging codes. Options include 75726, 75774, or 76496, depending on the structure being imaged and catheter placement. If imaging the inferior phrenic arterial blood supply to the diaphragm, then use 76496. If imaging the inferior phrenic arterial blood supply to the viscera (liver, spleen) use code 75726. The procedural report must be read carefully to determine the correct coding.

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