CPT® Code 36246

Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family

A selective catheter placement is a medical procedure that involves the introduction of a catheter into a specific artery within the abdominal, pelvic, or lower extremity regions of the body. This procedure is categorized under the arterial system and is performed to access and evaluate blood flow in these areas. The term "selective" indicates that the catheter is placed in a targeted manner, allowing for precise intervention in a particular branch of the vascular system. The procedure typically begins with the insertion of a catheter through a small incision, usually made over the femoral artery in the groin, although access can also be obtained through an upper extremity artery. Once the catheter is in place, it is advanced through the arterial system, navigating through various branches of the aorta to reach the desired location. The physician may manipulate the catheter through first, second, and higher order branches, depending on the complexity of the vascular anatomy and the specific clinical indications for the procedure. The use of radiopaque contrast media may be employed during the procedure to enhance imaging and facilitate the evaluation of blood vessels. This code specifically refers to the initial placement of a second order branch within a vascular family, which is crucial for accurate coding and billing in medical practices.