TAR and Non-Benefit List: Codes 30000 39999 (Tar and Non Cd3)

TAR and Non-Benefit List: Codes 30000 39999 (Tar and Non Cd3)

tar and non cd3

TAR and Non-Benefit List: Codes 30000 – 399991

BenefitBenefit

CodeDescriptionRestrictionsCodeDescriptionRestrictions

SURGERY (continued)

RESPIRATORY SYSTEM

NOSE

Incision

30000Drainage abscess or hematoma, nasal...... 3

30020Drainage abscess or hematoma, nasal septum...... 3

Excision

30100Biopsy, intranasal...... 3

30110Excision, nasal polyp(s), simple...... 3

30115Excision of nose polyp(s), extensive...... 3

30120Excision, skin of nose for rhinophyma...... 3

30124Excision, dermoid cyst, nose, subcutaneous...... 3

30130Excision inferior turbinate, partial or complete, any method2, 3

30140Submucous resection inferior turbinate, partial or complete, any method2, 3

Introduction

30200Injection into turbinates...... 3

30210Displacement therapy...... 3

30220Insertion nasal septal prosthesis...... 2, 3

Removal, Foreign Body

30300Removal foreign body, intranasal; office type procedure3

30310Removal foreign body, intranasal, with anesthesia....3

30320Removal foreign body, intranasal, by lateral rhinotomy.3

Repair

30400Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip2

30410Rhinoplasty, primary; complete...... 2

30420Rhinoplasty, primary; including major septal repair....2

30430Rhinoplasty, secondary, minor revision...... 2, 3

30435Rhinoplasty, secondary, intermediate revision...... 2, 3

30450Rhinoplasty, secondary, major revision...... 2

30460Rhinoplasty for nasal deformity, secondary...... 2

30462Rhinoplasty for nasal deformity, secondary, with columellar lengthening 2

30465Repair of nasal vestibular stenosis...... 2

30520Septoplasty or submucous resection...... 2

30560Lysis intranasal synechia...... 3

Destruction

30801Cautery and/or ablation, mucosa of inferior turbinates; superficial3

30802Cautery and/or ablation, mucosa of turbinates; intramural 3

Other Procedures

30901Control nasal hemorrhage, anterior, simple...... 3

30903Control nasal hemorrhage, anterior, complex...... 3

30905Control nasal hemorrhage, posterior; initial...... 3

30906Control nasal hemorrhage, posterior; subsequent.....3

30930Fracture nasal inferior turbinate, therapeutic...... 3

30999Unlisted procedure, nose...... 2

ACCESSORY SINUSES

Incision

31000Lavage by cannulation, maxillary sinus...... 3

31002Lavage by cannulation, sphenoid sinus...... 3

31020Sinusotomy, maxillary, intranasal...... 3

31030Sinusotomy, maxillary; radical without antrochoanal polyp removal2

31032Sinusotomy, maxillary; intranasal; radical with antrochoanal polyp removal2

31040Pterygomaxillary fossa surgery, any approach...... 2

31050Sinusotomy, sphenoid...... 2

31051Sinusotomy, sphenoid, with mucosal stripping or removal, polyp(s)2

31070Sinusotomy frontal; external, simple...... 2

31075Sinusotomy frontal; transorbital, unilateral...... 2

31080Sinusotomy frontal; obliterative without osteoplastic flap, brow incision2

31081Sinusotomy frontal; obliterative without osteoplastic flap, coronal incision2

31084Sinusotomy frontal; obliterative with osteoplastic flap, brow incision2

31085Sinusotomy frontal; obliterative with osteoplastic flap, coronal incision2

31086Sinusotomy frontal; nonobliterative with osteoplastic flap, brow incision2

31087Sinusotomy frontal; nonobliterative with osteoplastic flap, coronal incision2

31090Sinusotomy, unilateral, three or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)2

31231Nasal endoscopy, diagnostic...... 3

31233Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy3

31235Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy3

31237Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement3

31238Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage3

31239Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy3

31240Nasal/sinus endoscopy, surgical; with concha bullosa resection3

31253Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed 3

31254Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial(anterior)3

31255Nasal/sinus endoscopy, surgical; with ethmoidectomy, surgical with ethmoidectomy;total(anterior and posterior)3

31256Nasal/sinus endoscopy, surgical, with maxillary antrostomy3

31257Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy3

Benefit Restriction Descriptions:1Non-Benefit3Assistant Surgeon services not payable

2Requires TAR,

Primary Surgeon/Provider

2 – TAR and Non-Benefit List: Codes 30000 – 39999

January 2018

tar and non cd3

1

BenefitBenefit

CodeDescriptionRestrictionsCodeDescriptionRestrictions

Incision (continued)

31259Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus 3

31267Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus3

31276Nasal/sinus endoscopy, surgical with frontal sinus exploration, including removal of tissue from frontal sinus, when performed 3

31287Nasal/sinus endoscopy, surgical, with sphenoidotomy..3

31288Nasal/sinus endoscopy, surgical, with sphenoidotomy, with removal of sphenoid sinus tissue3

31290Nasal/sinus endoscopy, surgical, with cerebrospinal fluid leak repair, ethmoid region3

31291Nasal/sinus endoscopy, surgical, with cerebrospinal fluid leak repair, sphenoid region3

31292Nasal/sinus endoscopy, surgical, with medial or inferior orbital wall decompression3

31293Nasal/sinus endoscopy, surgical, with medial and inferior orbital wall decompression3

31294Nasal/sinus endoscopy, surgical, with optic nerve decompression3

31295Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium3

31296Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium3

31297Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium3

Other Procedures

31299Unlisted procedure, accessory sinuses...... 2

LARYNX

Introduction

31500Intubation, endotracheal, emergency procedure...... 3

31502Tracheotomy tube change prior to establishment of fistula tract3

Endoscopy

31505Laryngoscopy, indirect, diagnostic...... 3

31510Laryngoscopy, indirect, with biopsy...... 3

31511Laryngoscopy, indirect, with removal foreign body....3

31512Laryngoscopy, indirect, with removal lesion...... 3

31513Laryngoscopy, indirect, with vocal cord injection...... 3

31515Laryngoscopy, direct, for aspiration...... 3

31520Laryngoscopy, direct, diagnostic, newborn...... 3

31525Laryngoscopy, direct, diagnostic, except newborn.....3

31526Laryngoscopy, direct, diagnostic, with operating microscope or telescope3

31527Laryngoscopy, direct, with insertion of obturator...... 3

31528Laryngoscopy, direct, with dilation, initial...... 3

31529Laryngoscopy, direct, with dilation, subsequent...... 3

31530Laryngoscopy, direct, operative, with
foreign body removal...... 3

Endoscopy (continued)

31531Laryngoscopy, direct, operative, with foreign bodyremoval; with operating microscope or telescope3

31535Laryngoscopy, direct, operative, with biopsy...... 3

31536Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope3

31540Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis3

31541Laryngoscopy, direct, operative, excision tumor, scope.3

31575Laryngoscopy, flexible; diagnostic...... 3

31576Laryngoscopy, flexible; with biopsy(ies)...... 3

31577Laryngoscopy, flexible; removal foreign body(s)...... 3

31578Laryngoscopy, flexible; removal lesion(s)...... 3

31579Laryngoscopy, flexible or rigid telescopic, with stroboscopy3

Other Procedures

31599Unlisted procedure, larynx...... 2

TRACHEA AND BRONCHI

Incision

31600Tracheostomy, planned...... 3

31601Tracheostomy, planned; under two years...... 3

31603Tracheostomy, emergency procedure; transtracheal...3

31605Tracheostomy, emergency procedure; cricothyroid membrane3

31610Tracheostomy, fenestration procedure with skin flaps..3

31612Tracheal puncture, percutaneous with transtracheal aspiration and/or injection3

31613Tracheostoma revision; simple, without flap rotation...3

31614Tracheostoma revision; complex, with flap rotation....3

Endoscopy

31615Tracheobronchoscopy through tracheostomy incision..3

31622Bronchoscopy, rigid or flexible; with or without fluoroscopic guidance; diagnostic, with or without cell washing3

31623Bronchoscopy; with brushing or protected brushings...3

31624Bronchoscopy; with bronchial alveolar lavage...... 3

31625Bronchoscopy; with bronchial or endobronchial biopsy(s), single or multiple sites3

31626Bronchoscopy; with placement of fiducial markers, single or multiple3

31627Bronchoscopy; with computer-assisted, image-guided navigation3

31628Bronchoscopy; with transbronchial lung biopsy(s), single lobe3

31629Bronchoscopy; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)3

31630Bronchoscopy; with tracheal/bronchial dilation or closed reduction of fracture3

31631Bronchoscopy; with placement of tracheal stent(s)....3

31632Bronchoscopy; with transbronchial lung biopsy(s), each additional lobe3

Benefit Restriction Descriptions:1Non-Benefit3Assistant Surgeon services not payable

2Requires TAR,

Primary Surgeon/Provider

2 – TAR and Non-Benefit List: Codes 30000 – 39999

January 2018

tar and non cd3

1

BenefitBenefit

CodeDescriptionRestrictionsCodeDescriptionRestrictions

Endoscopy (continued)

31633Bronchoscopy; with transbronchial needle aspiration biopsy(s), each additional lobe3

31634Bronchoscopy; with balloon occlusion...... 3

31635Bronchoscopy; with removal of foreign body...... 3

31636Bronchoscopy, with placement of bronchial stents....3

31637Bronchoscopy, each additional stent...... 3

31638Bronchoscopy, with revision of stent...... 3

31640Bronchoscopy; with excision of tumor...... 3

31641Bronchoscopy; with destruction of tumor or relief of stenosis by other than excision3

31643Bronchoscopy; with placement of catheter(s) for intracavitary radioelement application3

31645Bronchoscopy,rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial 3

31646Bronchoscopy, rigid or flexible, including fluoroscopic quidance, when performed;with therapeutic aspiration, of tracheobronchial tree, subsequent 3

31647Bronchoscopy; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), intitial lobe 3

31648Bronchoscopy; with removal of bronchial valve(s), initial lobe3

31649Bronchoscopy; with removal of bronchial valve(s), each additional lobe3

31651Bronchoscopy; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), each additional lobe 3

31652Bronchoscopy; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling, one or two mediastinal and/or hilar lymph node stations or structures 3

31653Bronchoscopy; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling, 3 or more mediastinal and/or hilar lymph node stations or structures 3

31654Bronchoscopy; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) 3

Bronchial Thermoplasty

31660Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe2, 3

31661Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes 2, 3

Introduction

31717Catheterization bronchial brush biopsy...... 3

31720Catheter aspiration; nasotracheal...... 3

31725Catheter aspiration; tracheobronchial with fiberscope, bedside3

31730Transtracheal (percutaneous) introduction needle wire dilator/stent or indwelling tube3

Other Procedures

31899Unlisted procedure, trachea, bronchi...... 2

LUNGS AND PLEURA

Excision/Resection

32400Biopsy, pleura; percutaneous needle...... 3

32405Biopsy, lung or mediastinum, percutaneous needle....3

Introduction and Removal

32550Insertion of indwelling tunneled pleural catheter with cuff3

32551Tube thoracostomy, includes water seal...... 3

32552Removal of indwelling tunneled pleural catheter with cuff 3

32553Placement of interstitial device(s) for radiation therapy guidance, percutaneous,
intra-thoracic, single or multiple...... 3

32554Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance3

32555Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance3

32556Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance3

32557Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance3

Destruction

32560Chemical pleurodesis ...... 3

Thoracoscopy

32601Thoracoscopy, diagnostic; lungs and pleural space, without biopsy3

32650Thoracoscopy, surgical; with pleurodesis...... 3

Sterotactic Radiation Therapy

32701Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), entire course of treatment3

Lung Transplantation

32850Donor pneumonectomy (including cold preservation), (from cadaver donor)1

32851Lung transplant, single, without cardiopulmonary bypass2

32852Lung transplant, single, with cardiopulmonary bypass..2

32853Lung transplant, double, without cardiopulmonary bypass 2

32854Lung transplant, double, with cardiopulmonary bypass.2

Surgical Collapse Therapy; Thoracoplasty

32960Pneumothorax, therapeutic, intrapleural injection of air.3

Benefit Restriction Descriptions:1Non-Benefit3Assistant Surgeon services not payable

2Requires TAR,

Primary Surgeon/Provider

2 – TAR and Non-Benefit List: Codes 30000 – 39999

January 2018

tar and non cd3

1

BenefitBenefit

CodeDescriptionRestrictionsCodeDescriptionRestrictions

Other Procedures

32997Total lung lavage (unilateral)...... 1

32998Ablation therapy for reduction or eradication of one or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; radiofrequency 3

32999Unlisted procedure, lungs and pleura...... 2

CARDIOVASCULAR SYSTEM

HEART AND PERICARDIUM

Pericardium

33010Pericardiocentesis; initial...... 3

33011Pericardiocentesis; subsequent...... 3

Transmyocardial Revascularization

33140Transmyocardial laser revascularization, by thoracotomy 1

33141Heart TMR with other open cardiac procedure...... 1

Pacemaker or Implantable Defibrillator

33206Insertion of new or replacement or permanent pacemaker with transvenous electrode(s); atrial3

33207Insertion of new or replacement or permanent pacemaker with transvenous electrode(s); ventricular3

33208Insertion of new or replacement or permanent pacemaker with transvenous electrode(s); atrial and ventricular3

33210Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) 3

33211Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure)3

33212Insertion of pacemaker pulse generator only; with existing single lead3

33213Insertion of pacemaker pulse generator only; with existing dual leads3

33218Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator3

33220Repair of two transvenous electrodes for permanent pacemaker or implantabledefibrillator3

33221Insertion of pacemaker pulse generator only; with existing multiple leads3

Pacemaker or Implantable Defibrillator (continued)

33224Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker
or pacing cardioverter-defibrillator pulse generator..3

33225Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of pacing cardioverter-defibrillator or pacemaker pulse generator 3

33226Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) 3

33227Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system3

33228Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system3

33229Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system3

33230Insertion of pacing cardioverter-defibrillator pulse generator only; with existing dual leads3

33231Insertion of pacing cardioverter-defibrillator pulse generator only; with existing multiple leads3

33233Removal of permanent pacemaker pulse generator only3

33240Insertion of pacing cardioverter-defibrillator pulse generator only; with existing single lead3

33241Removal of implantable defibrillator pulse generator only 3

33249Insertion or replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber 3

33262Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system 3

33263 Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system 3

33264 Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system 3

33270Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including evaluation 3

33271Insertion of subcutaneous implantable defibrillator electrode3

33272Removal of subcutaneous implantable defibrillator electrode3

33273Repositioning of previously implanted subcutaneous implantable defibrillator electrode3

Benefit Restriction Descriptions:1Non-Benefit3Assistant Surgeon services not payable

2Requires TAR,

Primary Surgeon/Provider

2 – TAR and Non-Benefit List: Codes 30000 – 39999

December 2018

tar and non cd3

1

BenefitBenefit

CodeDescriptionRestrictionsCodeDescriptionRestrictions

HEART AND PERICARDIUM (continued)

Pacemaker or Implantable Defibrillator (continued)

33274Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance and device evaluation, when performed 3

33275Transcatheter removal of permanent leadless pacemaker, right ventricular3

33477Transcatheter pulmonary valve implantation, percutaneous approach3

Endoscopy

33508Endoscopy, including video-assisted harvest of veins for coronary bypass procedure3

Combined Arterial-Venous Grafting for Coronary Bypass

33517Coronary artery bypass, venous/arterial graft; single vein graft2

33518Coronary artery bypass, venous/arterial grafts; two venous grafts2

33519Coronary artery bypass, venous/arterial grafts; three venous grafts2

33521Coronary artery bypass, venous/arterial grafts; four venous grafts2

33522Coronary artery bypass, venous/arterial grafts; five venous grafts2

33523Coronary artery bypass, venous/arterial grafts; six or more venous grafts2

Arterial Grafting for Coronary Artery Bypass

33533Coronary artery bypass, using arterial graft; single arterial graft2

33534Coronary artery bypass, using arterial grafts; two coronary arterial grafts2

33535Coronary artery bypass, using arterial grafts; three coronary arterial grafts2

33536Coronary artery bypass, using arterial grafts; four or more coronary arterial grafts2

Shunting Procedures

33737Atrial septectomy or septostomy; open heart with inflow occlusion2

Heart/Lung Transplantation

33927Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy1

33928Removal and replacement of total replacement heart system (artificial heart)1

33929Removal of a total replacement heart system (artificial heart) for heart transplantation1

33930Donor cardiectomy-pneumonectomy, with allograft care1

33935Heart-lung transplant, with recipient cardiectomy-pneumonectomy2

33940Donor cardiectomy (including cold preservation)...... 1

33945Heart transplant...... 2

Extracorporeal Membrane Oxygenation/Extra Corporeal Life Support

33946Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation,
veno-venous...... 2, 3

33947ECMO/ECLS provided by physician; initiation, veno-arterial2, 3

33948ECMO/ECLS provided by physician; daily management, each day, veno-venous3

33949ECMO/ECLS provided by physician; daily management, each day, veno-arterial3

33951ECMO/ECLS provided by physician; insertion of peripheral cannula(e), percutaneous, birth through 5 years of age3

33952ECMO/ECLS provided by physician; insertion of peripheral cannula(e), percutaneous,
6 years and older...... 3

33953ECMO/ECLS provided by physician; insertion of peripheral cannula(e), open, birth through 5 years of age3

33954ECMO/ECLS provided by physician; insertion of peripheral cannula(e), open, 6 years and older3

33955ECMO/ECLS provided by physician; insertion of central cannula(e), birth through 5 years of age3

33956ECMO/ECLS provided by physician; insertion of central cannula(e), 6 years and older3

33957ECMO/ECLS provided by physician; reposition peripheral cannula(e), percutaneous, birth through 5 years of age3

33958ECMO/ECLS provided by physician; reposition peripheral cannula(e), percutaneous, 6 years and older3

33959ECMO/ECLS provided by physician; reposition peripheral cannula(e), open, birth through 5 years of age3

33962ECMO/ECLS provided by physician; reposition peripheral cannula(e), open,6 years and older3

33963ECMO/ECLS provided by physician; reposition of central cannula(e), birth through 5 years of age3

33964ECMO/ECLS provided by physician; reposition of central cannula(e), 6 years and older3

33965ECMO/ECLS provided by physician; removal of peripheral cannula(e), percutaneous, birth through 5 years of age3

33966ECMO/ECLS provided by physician; removal of peripheral cannula(e), percutaneous, 6 years and older3

33969ECMO/ECLS provided by physician; removal of peripheral cannula(e), open, birth through 5 years of age3

33984ECMO/ECLS provided by physician; removal of peripheral cannula(e), open, 6 years and older3

33985ECMO/ECLS provided by physician; removal of central cannula(e), birth through 5 years of age3

33986ECMO/ECLS provided by physician; removal of central cannula(e), 6 years and older3

Benefit Restriction Descriptions:1Non-Benefit3Assistant Surgeon services not payable

2Requires TAR,

Primary Surgeon/Provider

2 – TAR and Non-Benefit List: Codes 30000 – 39999

December 2018

tar and non cd3

1

Benefit Benefit

CodeDescriptionRestrictionsCodeDescriptionRestrictions

HEART AND PERICARDIUM (continued)

Extracorporeal Membrane Oxygenation/Extra Corporeal Life Support (continued)

33987Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS3

33988Insertion of left heart vent by thoracic incision for ECMO/ECLS3

33989Removal of left heart vent by thoracic incision for ECMO/ECLS3

Cardiac Assist

33960Prolonged extracorporeal circulation for cardiopulmonary insufficiency; initial 24 hours1

33961Prolonged extracorporeal circulation for cardiopulmonary insufficiency; each additional 24 hours1

33967Insertion of intra-aortic balloon assist device, percutaneous3

33980Removal of ventricular assist device, implantable intracorporeal, single ventricle3

Other Procedures, Cardiac Surgery

33999Unlisted procedure, cardiac surgery...... 2

ARTERIES AND VEINS

Fenestrated Endovascular Repair of the Visceral and Infrarenal Aorta

34839Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time 3

VASCULAR INJECTION PROCEDURES

Intravenous

36000Introduction of needle or intracatheter, vein...... 3

36005Injection procedure for extremity venography...... 3

36010Introduction of catheter, superior or
inferior vena cava...... 3

36011Selective catheter placement, venous, first order branch3

36012Selective catheter placement, venous, second order or more3

Intravenous (continued)

36013Introduction of catheter, right heart or main pulmonary artery3

36014Selective catheter placement, left or right pulmonary artery3

36015Selective catheter placement, segmental or subsegmental pulmonary artery3

Intra-Arterial/Intra-Aortic

36100Introduction of needle/intracatheter, carotid/vertebral artery3

36140Introduction of needle/intracatheter, upper or lower extremity artery3

Interventions for Arteriovenous Shunts Created
for Dialysis

36160Introduction of needle/intracatheter, aortic, translumbar.3

Diagnostic Studies of Cervicocerebral Arteries

36200Introduction of catheter, aorta...... 3

36221Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels 3

36222Selective catheter placement, common carotid or innominate artery, unilateral, with angiography of the ipsilateral extracranial carotid circulation 3

36223Selective catheter placement, common carotid or innominate artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation 3

36224Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation 3

36225Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation 3

36226Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation3

36227Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation 3

36228Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation 3

36245Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch3

36246Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch3

36247Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch 3