CPT code 36254 denotes bilateral selective catheter angiography of the renal arteries, a diagnostic, image-guided procedure used to visualize second- and higher-order branches of the main renal arteries via contrast injection. Nationally, this procedure is central to the evaluation of suspected renal artery stenosis, thrombosis, or other vascular causes of renal dysfunction and is commonly performed in hospital angiography suites and interventional radiology or catheterization labs.

Key payers discussed in this profile include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis addresses clinical context, billing and service-line considerations, and payer-specific coverage patterns where available. Readers will find concise benchmarks, descriptions of typical sites of service, and the clinical scenarios that commonly justify use of the code. The profile also summarizes common modifiers and related service-line impacts for coding workflows; when payer-specific policies are applicable, the report highlights differences in prior authorization, documentation expectations, and bundling rules. Data not available in the input is noted where applicable.