Non-Coronary Vascular Stents: Renal artery

by  Find-A-Code
January 16th, 2018

The following information is according to Novitas Solutions L35084.

Renal artery: Stenting may be indicated for renal artery stenosis causing renovascular hypertension (see below) or renal insufficiency as well as post-transplant renal artery stenosis, arterial aneurysm or dissection. Renal artery angioplasty with or without stenting is covered for renal artery stenosis manifested by at least one of the following conditions:

Renovascular hypertension (all criteria must be met):

Medicare is establishing the following limited coverage for CPT/HCPCS codes 37236 and 37237:

CPT codes:

ICD-10-CM codes:
  • I70.1* - Atherosclerosis of renal artery
  • I72.2 - Aneurysm of renal artery
  • I75.81 - Atheroembolism of kidney
  • I77.3* - Arterial fibromuscular dysplasia
  • I77.73 - Dissection of renal artery
  • Q27.1 - Congenital renal artery stenosis
  • Q27.2 - Other congenital malformations of renal artery
  • Q27.34 - Arteriovenous malformation of renal vessel
  • Kidney transplant
*Note: I70.1 and I77.3 require an additional code for coverage of renal artery stenting. These codes fulfill medical necessity:
  • Hypertensive chronic kidney disease
    • I12.0 - with stage 5 chronic kidney disease or end stage renal disease
    • I12.9 - with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
  • Hypertensive heart and chronic kidney disease
    • I13.0 - with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    • I13.10 - without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    • I13.11 - without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
    • I13.2 - with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
  • I15.0 - Renovascular hypertension
  • I15.1 - Hypertension secondary to other renal disorders
  • J81.0 - Acute pulmonary edema
  • N17.8 - Other acute kidney failure
  • N17.9 - Acute kidney failure, unspecified
  • N26.2 - Page kidney

References:

Non-Coronary Vascular Stents: Renal artery. (2018, January 16). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/non-coronary-vascular-stents-renal-artery-32817.html

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