AMA CPT® Assistant - 2016 Issue 7 (July)

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

July 2016 page 8c Surgery: Cardiovascular System Question: Is it appropriate to report CPT codes 37225, 37229, or 37233 for the revascularization of a lower extremity artery using atherectomy guided by intravascular optical coherence tomography (OCT)? The atherectomy catheter is initially inserted using fluoroscopy to guide placement at the site of the stenotic lesion. The atherectomy catheter is advanced through the lesion using OCT guidance in conjunction with fluoroscopic imaging. Answer: All of the lower extremity revascularization (LER) codes (37220-37235) include the work of accessing and selectively catheterizing the vessel; traversing the lesion; radiological supervision and interpretation directly related...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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