A: There is not a specific CPT code for the performance of BRTO so each individual component of the procedure should be reported with the appropriate procedure code(s). Selective venous catheterizations should be reported with the 36011 or 36012 (1st & 2nd order venous cath, respectively) or 36481 (portal vein cath). Diagnostic studies that meet the criteria to be separately reported should be assigned the appropriate venography code(s). However, there is not a CPT code that specifically describes a mesenteric venography. Unless payer guidelines instruct otherwise, appropriately documented mesenteric venography could be reported with the unlisted fluoroscopic procedure code 76496. The occlusion component of the procedure should be reported with the appropriate embolization code (37241 or 37244) depending on the clinical situation.
Disclaimer: SIR is providing this billing and coding guide for educational and information purposes only. It is not intended to provide legal, medical or any other kind of advice. The guide is meant to be an adjunct to the American Medical Association’s (AMA’s) Current Procedural Terminology (2021/CPT®). It is not comprehensive and does not replace CPT. Our intent is to assist physicians, business managers and coders. Therefore, a precise knowledge of the definitions of the CPT descriptors and the appropriate services associated with each code is mandatory for proper coding of physician service. Please refer to 2021 CPT® for full and complete guidelines.
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