In the cath lab, which CPT® code(s) is/are reported for a catheter placement in the aortic arch from a right femoral artery puncture?

In this scenario, the appropriate CPT® code for catheter placement in the aortic arch from a right femoral artery puncture is 36221. This code specifically corresponds to the selective catheter placement into the aortic arch and involves the use of a catheter to access the aortic arch region.

The key factors determining the correct code are the anatomical site of catheter placement and whether the catheterization is selective. Code 36221 indicates a selective catheterization beyond the common femoral artery, which is precisely what occurs when the catheter is advanced from the right femoral artery directly to the aortic arch. This reflects the complexity and specificity of the vascular system being accessed.

In this case, the other options do not accurately represent the procedure being described. For instance, while other codes may pertain to catheter placements in other vascular territories or descriptors for different complexity levels, 36221 is the most fitting for the selective catheterization of the aortic arch specifically. Thus, it aligns with the procedural specifics required for correct coding in this context.