A patient status post deep venous arterialization (DVA), a procedure in which arterial blood is shunted by an endovascular stent that originates in a leg artery and then penetrates the arterial wall and then extends into the deep veins allowing oxygenated artery blood into the veins, presents with an endoleak around the stent at the left posterior tibial artery. The patient undergoes endovascular revascularization including angiography, placement of a stent graft in the proximal posterior tibial artery, and then placement of an extension stent to the preexisting stent in the outflow distal posterior tibial vein. What is the correct code(s) to report the placement of both the tibial artery stent and the tibial vein stent? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a single coding question about an endovascular revascularization case in the setting of deep venous arterialization (DVA). It is aimed at coders and billing staff who need to understand how the procedure is categorized for reporting, including how the discussion treats the involved vessel pathway and bundled services at a high level.

Why This Topic Matters

Cases involving DVA can raise questions about vessel interpretation, bundled catheterization, and whether multiple stent placements are reported separately. Understanding the article helps coding professionals identify the relevant procedure category before applying their organization’s coding workflow.

Codes Discussed

• CPT: 37230

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