Ring in the New Year with updates for IVC filters, too. The trend toward more all-in-one codes isn't slowing under CPT® 2012. Renal angiography and IVC filter procedures will see new codes that combine surgical and imaging services into one neat package. Replace Your Old Renal Angiography Codes Renal angiography sports four new codes effective Jan. 1, 2012. Key elements distinguishing the codes include whether the service is first order or higher and whether the service is unilateral or bilateral: Tip: You also should not report 36253 in conjunction with 36251 "when performed on the same renal/kidney. The accessory renal arteries only influence coding if the catheter placement is in a second or higher order position," Neighbors says. Don't miss: 37191-37193 Change Your IVC Filter Options Prepare for an all new way to report inferior vena cava (IVC) filter services, too: In 2011, you report IVC filter placement with 36010 (Introduction of catheter, superior or inferior vena cava for catheterization), 37620 (Interruption, partial or complete, of inferior vena cava by suture, ligation, plication, clip, extravascular, intravascular [umbrella device]), and 75940 (Percutaneous placement of IVC filter, radiological supervision and interpretation). Because 37191 includes all of these elements, CPT® 2012 deletes the IVC-specific codes 37620 and 75940. Coding removal wasn't as clear cut in 2011. Before creation of 37193, payers may have requested unlisted procedure codes or transcatheter retrieval codes 75961 (Transcatheter retrieval, percutaneous, of intravascular foreign body [e.g., fractured venous or arterial catheter], radiological supervision and interpretation) and 37203 (Transcatheter retrieval, percutaneous, of intravascular foreign body [e.g., fractured venous or arterial catheter) to describe the service. Guidelines for 2012 make it clear that you should not report 37193 alongside 75961 and 37203.