Dr. Samuel Serna, MD

CPT Codes:

• 47000: Biopsy of liver, needle; percutaneous
• 10005: Fine needle aspiration biopsy, including ultrasound guidance; first lesion
• 50200: Renal biopsy; percutaneous, by trocar or needle
• 32408: Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed
• 20206: Biopsy, muscle, percutaneous needle
• 10006: Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)
• 42400: Biopsy of salivary gland; needle
• 20225: Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)
• 37200: Transcatheter biopsy
• 19081: Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance
• 10009: Fine needle aspiration biopsy, including CT guidance; first lesion

CPT Codes:

• 19083: Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance
• 19085: Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance
• 19084: Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)

CPT Codes:

• 10035: Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion

CPT Codes:

• 19285: Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance

CPT Codes:

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

CPT Codes:

• 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)
• 36245: Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family
• 36012: Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)
• 36215: Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family

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:

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

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:

• 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

CPT Codes:

• 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

CPT Codes:

• 36907: Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary procedure)
• 37246: Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery

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:

• 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:

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

CPT Codes:

• 36251: Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral

CPT Codes:

• 36002: Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm

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:

• 60100: Biopsy thyroid, percutaneous core needle

CPT Codes:

• 58340: Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography

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:

• 51600: Injection procedure for cystography or voiding urethrocystography

CPT Codes:

• 51610: Injection procedure for retrograde urethrocystography

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
• 50593: Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy

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:

• 50688: Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

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:

• 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
• 20611: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting

CPT Codes:

• 23350: Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography
• 36005: Injection procedure for extremity venography (including introduction of needle or intracatheter)
• 27093: Injection procedure for hip arthrography; without anesthesia
• 20501: Injection of sinus tract; diagnostic (sinogram)

CPT Codes:

• 20605: Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance

CPT Codes:

• 20220: Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)

CPT Codes:

• 22514: Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar

CPT Codes:

• 22513: Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic

CPT Codes:

• 27369: Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography

CPT Codes:

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

CPT Codes:

• 62270: Spinal puncture, lumbar, diagnostic;

CPT Codes:

• 62284: Injection procedure for myelography and/or computed tomography, lumbar

CPT Codes:

• 62323: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)

CPT Codes:

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