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Revascularization & angiogram requests

Revascularization requests are unique in the way they need to be ordered and therefore we want to provide some tips about how to go about submitting these:

  • We recommend submitting requests for revascularization CPT codes only after an angiogram has been completed.

  • If these procedures are completed at the same time, you will need to submit a retro authorization for revascularization requests and include the angiogram report documentation in this request.

    • Angiogram should demonstrate β‰₯75% stenosis.

    • We recommend using only relevant CPT codes (see list and link below).

Recommended CPT codes for revascularization:

Procedure type

CPT code for revascularization

Angiogram

  • 36245, 36246, 36247

Revascularization

  • 37220, 37221, 37224, 37225, 37226, 37227, 37228, 37229, 37230, 37231, 0505T

  • To view the full CMS article for revascularization billing and coding, click here.

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