AMA CPT® Assistant - 2015 Issue 5 (May)
Correct Coding of Carotid Artery and Innominate Artery Stent Placement Procedures (May 2015)
May 2015 page 7 Correct Coding of Carotid Artery and Innominate Artery Stent Placement Procedures For the Current Procedural Terminology (CPT®) 2014 code set, code 37217 was established to report open surgical exposure of the cervical carotid artery and retrograde stent placement in the intrathoracic common carotid and innominate arteries. Retrograde stent placement means insertion of the endovascular stent in the opposite direction of blood flow toward the aortic arch through the common carotid artery in the neck distal to the occlusive lesion. For the CPT 2015 code set, code 37218 was established to report antegrade stent placement...
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Article Overview
This article explains CPT guidance for carotid and innominate artery stent placement procedures, with emphasis on how the 2014 and 2015 code sets address different procedural approaches. It is relevant to coders, billers, and vascular surgery or interventional radiology teams that need to understand the scope of the guidance, the codes discussed, and the associated imaging and catheterization considerations.
Why This Topic Matters
Accurate reporting of these vascular stent procedures depends on understanding how the CPT framework distinguishes procedural approach, vessel segment, and included service components. The article helps readers recognize the general coding issues involved when treating carotid or innominate artery lesions.
Article Sections
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May 2015 page 7
Introductory article placement and source context for the CPT guidance that follows.
What You Will Learn
- How the article frames CPT guidance for carotid and innominate artery stent placement
- How the article distinguishes procedural approaches in broad terms
- Which types of bundled service components are discussed in relation to these procedures
- How the article addresses diagnostic imaging and catheterization at a high level
Who Should Read This
- Medical coders
- Billers
- Vascular surgery practices
- Interventional radiology practices
- Revenue cycle staff
Codes Discussed
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