On Demand: Basic Coding for Upper and Lower Extremity Angiography and Interventions-Webinar Recording

Video Transcription

Video Summary

This comprehensive webinar focused on upper and lower extremity angiography interventions, including added content on visceral vessel procedures due to frequent renal denervation inquiries. The presenter clarified that new 2026 coding changes for lower extremity interventions would be addressed in a December bootcamp, emphasizing current guidance.<br /><br />Key topics included coding nuances for moderate sedation—highlighting documentation requirements like specific timing and an independent observer—as well as ultrasound guidance criteria. The session detailed angiography coding principles distinguishing selective vs. non-selective catheterizations and explained vascular family coding based on anatomical order (first, second, third), emphasizing the importance of precise provider documentation regarding catheter location and lesion specifics.<br /><br />Upper extremity angiography coding rules were described alongside visceral vessel interventions, including renal artery catheter placements and embolization procedures. The speaker touched on category 3 codes used for atherectomies and renal denervation, noting billing restrictions and documentation essentials.<br /><br />Lower extremity angiography coding was extensively reviewed, covering iliac, femoral-popliteal, and tibial territories, stressing territory-specific coding hierarchies and the importance of clear lesion and vessel documentation. The discussion highlighted when additional angiography codes are valid, particularly for imaging down to the foot, and addressed coding for thrombectomy and thrombolysis procedures.<br /><br />Several real case examples illustrated coding applications and reinforced best practices. Throughout, emphasis was placed on proactive communication between coders and clinicians to ensure specificity and compliance, especially with upcoming coding changes. The webinar concluded with Q&A clarifying common issues like sedation coding, lithotripsy, catheter placements, and the importance of adhering to payer-specific guidelines.

Keywords

upper extremity angiography

lower extremity angiography

visceral vessel interventions

renal denervation

2026 coding changes

moderate sedation documentation

ultrasound guidance criteria

selective vs non-selective catheterization

vascular family coding

atherectomy category 3 codes

renal artery embolization

thrombectomy coding

coder-clinician communication