Dr. David Sperling, MD

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
• 36011: Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)
• 36012: Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)
• 36246: Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family

CPT Codes:

• 10005: Fine needle aspiration biopsy, including ultrasound guidance; first lesion
• 47000: Biopsy of liver, needle; percutaneous
• 37200: Transcatheter biopsy
• 10006: Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)

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
• 37241: Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)

CPT Codes:

• 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
• 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:

• 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 (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)
• 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:

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

CPT Codes:

• 49424: Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)
• 36005: Injection procedure for extremity venography (including introduction of needle or intracatheter)

CPT Codes:

• 36478: Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated

CPT Codes:

• 36571: Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older

CPT Codes:

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

CPT Codes:

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

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:

• 36468: Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk