AMA CPT® Assistant - 2018 Issue 7 (July)

Surgery: Cardiovascular System (Q&A) (July 2018)

July 2018 page 14a Surgery: Cardiovascular System Question: Which CPT code should be reported when a physician performs a temporary arterial balloon occlusion during a C-section or subsequent hysterectomy? Answer: If the temporary occlusion is performed prophylactically before the C-section or hysterectomy, then code 37242, Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms), should be reported with modifier 52, Reduced Services, appended. If the temporary occlusion is performed...

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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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