Dr. Noah Appel, MD

CPT Codes:

• 49424: Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)

CPT Codes:

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

CPT Codes:

• 47531: Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access

CPT Codes:

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

CPT Codes:

• 49451: Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
• 49450: Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

CPT Codes:

• 49185: Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed

CPT Codes:

• 47537: Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

CPT Codes:

• 49452: Replacement of 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:

• 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)
• 36012: Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)
• 36011: Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)

CPT Codes:

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

CPT Codes:

• 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)
• 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:

• 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:

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

CPT Codes:

• 36558: Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older

CPT Codes:

• 50593: Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy
• 50390: Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

CPT Codes:

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

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:

• 49083: Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance
• 10160: Puncture aspiration of abscess, hematoma, bulla, or cyst

CPT Codes:

• 17250: Chemical cauterization of granulation tissue (ie, proud flesh)

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:

• 64647: Chemodenervation of trunk muscle(s); 6 or more muscles

CPT Codes:

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