tci General Surgery Coding Alert - 2016 Issue 6

Reader Question: Define Angioplasty and/or Atherectomy

Question: Our surgeon performed a “cutting balloon atherectomy.” Services were for the right femoral artery and for in-stent restenosis in the left iliac artery. What is the proper way to code this? Maryland Subscriber Answer: A cutting balloon is an angioplasty device, so you will need to clarify whether the documentation supports reporting angioplasty alone or atherectomy along with the cutting balloon angioplasty. Angioplasty only: To report cutting balloon angioplasty, you’ll use these codes: Femoral code 37224 (Revascularization, endovascular, open or percutaneous, femoral, popliteal artery[s], unilateral; with transluminal angioplasty) Iliac code 37220 (Revascularization, endovascular, open or...

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