tci General Surgery Coding Alert - 2011 Issue 4

Reader Questions: Watch for Distinct Atherectomy Category III Code

Question: If the surgeon performs an iliac atherectomy in the same vessel as a stent or an angioplasty, can we report both services?North Carolina SubscriberAnswer: Yes, based on CPT 2011 codes, you can report a stent (with or without angioplasty) as 37221 (Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed) in addition to the atherectomy (0238T, Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel).Reporting both a stent and atherectomy with distinct codes is unique to supra-inguinal...

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