Coding Q&A By Stephanie L. Dybul, MBA, RT, FSIR
balloon-occluded retrograde transvenous obliteration (BRTO)?
Q How do I code for a 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.
Every reasonable effort has been made to ensure the accuracy of this guide; but SIR and its employees, agents, officers and directors make no representation, warranty or guarantee that the information provided is error-free or that the use of this guide will prevent differences of opinion or disputes with payers. The publication is provided “as is” without warranty of any kind, either expressed or implied, including, but not limited to, implied warranties or merchantability and fitness for a particular purpose. The company will bear no responsibility or liability for the results or consequences of the use of this manual. The ultimate responsibility for correct use of the Medicare and AMA CPT billing coding system lies with the user. SIR assumes no liability, legal, financial or otherwise for physicians or other entities who utilize the information in this guide in a manner inconsistent with the coverage and payment policies of any payers, including but not limited to Medicare or any Medicare contractors, to which the physician or other entity has submitted claims for the reimbursement of services performed by the physician.
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