Billing and Coding: Aortography and Peripheral Angiography

HCPCS G0278 should be used when femoral or iliac angiography is performed concurrently with coronary angiography; coverage otherwise follows the reasonable and necessary criteria in LCD L36767. Providers must maintain complete, legible medical records supporting the ICD-10-CM diagnosis, the CPT/HCPCS service code, the operating physician's H&P and E/M documentation, and a specific treating physician order for renal angiography performed during cardiac catheterization. Unusually high rates of concurrent femoral/iliac angiography at the time of coronary studies may be subject to contractor review and non-covered services must be billed with the appropriate modifier.

"Bill HCPCS code G0278 for femoral or iliac angiography performed at the time of coronary angiography."

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