For a catheter advanced into the pulmonary artery with angiography, which CPT® codes are reported?

The correct set of codes encompasses the catheterization and imaging of the pulmonary artery, reflecting the procedures performed.

The code 36015 represents the placement of a catheter into the central venous system, specifically the internal jugular or subclavian vein, which is necessary for accessing the pulmonary artery. The addition of 36014 with the modifier 59 indicates a catheterization of a different site—namely, the internal jugular or subclavian vein on the left side—allowing for thorough documentation of multiple procedures performed sequentially yet distinctly.

The codes 75743-26 and 75774-26 are for the imaging studies performed during the angiography procedure. The first, 75743, specifies a selective contrast study of the pulmonary artery, while 75774 adds detail to the imaging, indicating a more comprehensive view or additional areas of focus. The use of the -26 modifier signifies that the physician performed the interpretation of these imaging studies rather than the technical component.

Thus, the combination of these codes accurately describes the procedures involved in catheterization and angiography of the pulmonary artery, ensuring correct billing and clear documentation of the performed services.