Surgery: Cardiovascular System (Q&A) (June 2016)

June 2016 page 8b Surgery: Cardiovascular System Question: When an arteriovenous shunt for dialysis requires percutaneous transluminal angioplasty at one site in the outflow vein and a stent placement at another, should a CPT code be reported for both? Answer: Only code 37238 , Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein, would be reported. Code 37238 includes any and all balloon angioplasty(s) performed in the treated vessel, including pre-dilation (whether performed as a primary or secondary angioplasty), post-dilation following stent placement, treatment...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a coding question from the cardiovascular surgery area involving endovascular work in a dialysis shunt circuit. It is intended for coding professionals and others reviewing CPT guidance on how procedures in related vessel segments are discussed in the context of reporting. The article provides general guidance on the relationship between angioplasty and stent placement in the same treated vessel territory and notes how different vessel regions are viewed for reporting.

Why This Topic Matters

It helps readers understand how this CPT Assistant Q&A frames reporting for dialysis access interventions and why vessel grouping can affect whether services are reported together or separately.

Article Sections

  1. June 2016 page 8b

    Introductory header identifying the publication date and page location for the Q&A content.

  2. Surgery: Cardiovascular System

    The main topic area for the coding question and response within the cardiovascular surgery section.

What You Will Learn

  • The general subject of a CPT Assistant question about dialysis access circuit interventions.
  • How the article frames reporting considerations for endovascular treatment in related vessel territories.
  • What broad types of guidance are discussed for angioplasty and stent-related services in a dialysis shunt context.
  • How the article distinguishes between vessel regions for reporting purposes at a high level.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle professionals
  • Compliance staff
  • Cardiovascular surgery coding specialists

Codes Discussed


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