Coding Carotid Artery Angiograms

What are the ICD and CPT codes for the following carotid angiography?



Procedure: A percutaneous access was obtained using a 4F introducer in the right femoral artery and right common carotid artery was selectively engaged using wire and angiography was obtained utilizing contrast by hand injection. Then the left common carotid artery was selectively engaged and cervical angiography was obtained utilizing contrast by hand injection. at the end of the procedure the introducer was removed. 



Finding: The right common and external carotid arteries are patent. The proximal internal carotid has 80% stenosis. The distal left common carotid artery has a 20% plaque.

Total contrast used 70 ml.

DX     CODE       DESCRIPTION

1        433.10        Occlusion/Stenosis of Carotid w/o Infarct

PX      CODE      DESCRIPTION         

1         38.91        Arterial Catheterization

2         88.41        Arteriography of Cerebral Arteries       



CPT   CODE      DESCRIPTION             

1         36216       Place Catheter Art Initial, 2^nd Order       

2         36215-59 Place Catheter Art Ea 1st Order       

3         75680      Cervical Carotid Angiography Bilateral S&I

4         Q9958     HOCM <=149 Iodine, 1ml

5         C1894     Intro/Sheath, Non-Laser

6         C1769     Guide Wire   

Code Q9958 represent 1 ml of iodine contrast used so if 70 ml of contrast is used the unit's filed should be 70.