Dr. Allen Herr

CPT Codes:

• 36561: Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older

CPT Codes:

• 36558: Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older
• 36556: Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
• 36573: Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older

CPT Codes:

• 36590: Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion

CPT Codes:

• 36589: Removal of tunneled central venous catheter, without subcutaneous port or pump

CPT Codes:

• 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

CPT Codes:

• 37244: Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation

CPT Codes:

• 36902: Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty

CPT Codes:

• 36905: Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty

CPT Codes:

• 36598: Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report

CPT Codes:

• 36581: Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access

CPT Codes:

• 37191: Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed

CPT Codes:

• 36901: Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report;

CPT Codes:

• 37184: Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel

CPT Codes:

• 49083: Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance
• 49406: Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous
• 49405: Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous

CPT Codes:

• 49452: Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

CPT Codes:

• 49180: Biopsy, abdominal or retroperitoneal mass, percutaneous needle

CPT Codes:

• 43762: Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract
• 49450: Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
• 49451: Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

CPT Codes:

• 49440: Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

CPT Codes:

• 49446: Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

CPT Codes:

• 47536: Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

CPT Codes:

• 47490: Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation

CPT Codes:

• 49423: Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)

CPT Codes:

• 50435: Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

CPT Codes:

• 50432: Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

CPT Codes:

• 51102: Aspiration of bladder; with insertion of suprapubic catheter

CPT Codes:

• 50436: Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed

CPT Codes:

• 50433: Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access

CPT Codes:

• 50431: Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access

CPT Codes:

• 50387: Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation
• 50688: Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

CPT Codes:

• 50434: Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract

CPT Codes:

• 50389: Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)

CPT Codes:

• 38222: Diagnostic bone marrow; biopsy(ies) and aspiration(s)

CPT Codes:

• 38505: Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)

CPT Codes:

• 38221: Diagnostic bone marrow; biopsy(ies)

CPT Codes:

• 32555: Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance

CPT Codes:

• 32557: Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance

CPT Codes:

• 62328: Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance

CPT Codes:

• 62329: Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance

CPT Codes:

• 10030: Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous