Lower Extremity Revascularization (37220-37235): Additional Catheterization Reporting (36200, 36245, 36246) (October 2011)

Why This Topic Matters

Proper reporting of catheterization services around lower extremity revascularization affects claim accuracy and helps avoid duplicate or incomplete reporting. The article provides clarification for professionals who code interventional vascular procedures and outpatient hospital services.

Article Sections

1. Additional Catheterization Reporting for Lower Extremity Revascularization

   Introduces the topic of catheterization reporting in relation to lower extremity revascularization procedures and the general purpose of the clarification. It frames the article around scenarios where associated vascular access work may be considered separately.

2. Exception 1

   Describes a scenario involving diagnostic work performed from a separate puncture site than the intervention. The section explains the broad reporting context for catheterization in this setting.

3. Exception 2

   Covers a scenario in which the diagnostic study uses the same access site but requires a higher level of selectivity than the intervention. The section discusses reporting considerations for the additional catheterization work.

4. Exception 3

   Addresses a setting where a non-lower extremity intervention is performed at the same session as a lower extremity endovascular intervention. The section focuses on the broader reporting relationship between the procedures.

5. Closure Device at Arterial Puncture Site

   Summarizes guidance on closure of vascular access sites and includes a facility reporting note related to outpatient hospital tracking. The section also references the involvement of CMS and OPPS.