tci General Surgery Coding Alert - 2001 Issue 10

Reader Question: Carotid Artery Plication

Question: My doctor performed a carotid endarterectomy followed by a plication because the carotid artery was redundant. How should the plication be coded? I have used 35301 for the carotid endarterectomy and 35201-59 for the plication, and both Medicare and private carriers have denied the claim. Code 37799 (unlisted vascular procedure) for the plication is also denied. We have tried 37615 and have been paid, but my surgeon asked me to stop because he was plicating, not ligating, the artery. Maine Subscriber Answer: Your surgeon is correct in asking you not to use 37615 (ligation, major artery [e.g...

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