Code reference Code Description


36245 Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family 36246 Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family


36247 Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family


36248 Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (list in addition to code for initial second or third order vessel as appropriate)


37242


Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (e.g., congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)


37243 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction


75726 Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation


75774 Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (list separately in addition to code for primary procedure)


76380 Computed tomography, limited or localized follow-up study 77263 Therapeutic radiology treatment planning; complex 77295 3-dimensional radiotherapy plan, including dose-volume histograms


77300


Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician


77399 Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services 78801


Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (e.g., abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days


78803 Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (e.g., head, neck, chest, pelvis), single day imaging


78814 78830 78831 78832


Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (e.g., chest, head/neck)


Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (e.g., head, neck, chest, pelvis) or acquisition, single day imaging


Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (e.g., pelvis and knees, chest and abdomen) or separate acquisitions (e.g., lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days


Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (e.g., pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days


78835 Radiopharmaceutical quantification measurement(s) single area (list separately in addition to code for primary procedure) 78999 Unlisted miscellaneous procedure, diagnostic nuclear medicine 79445 Radiopharmaceutical therapy, by intra-arterial particulate administration S2095 Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres C2616 Brachytherapy source, nonstranded, yttrium-90, per source


Content has been updated to reflect IRQ style guidelines.


necessary dose and timing of treatment: angiographic studies, cross sectional imaging, previous treatment, the Tc99m-MAA scan and 3D reconstructed imaging to plan the Y-90 delivery. Documentation to support the use of 77263 must include the indications and goals of the proposed treatment, as well as description of dose prescription parameters, such as the specific dose


32 IRQ | FALL 2024


constraints for the target(s) and nearby critical structures.


After confirming that the patient is appropriate to be treated with SIRT utilizing Y-90, the physician then calculates the amount of Y-90 to be administered to therapeutically treat the patient. This calculation is reportable with code 77300, which requires documentation including using


patient-specific data to determine the total amount for administration. This is a separate service from the work outlined for the clinical treatment plan and can be billed in addition to code 77263.


Coding for the SIRT Y-90 treatment procedure Any selective catheter placements are reportable using the appropriate codes


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