tci General Surgery Coding Alert - 2015 Issue 7

You Be the Coder: Exploit 'Initial Vessel' Opportunity

Question:How should I report the following procedures, which are from an antegrade approach for limb salvage: Diagnostic right superficial femoral angiogram with runoff  Right popliteal percutaneous transluminal angioplasty (PTA) and angiography  Right posterior tibial artery PTA and angiography New Mexico Subscriber Answer:  For the right posterior tibial artery PTA and angiography, you should report 37228 (Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty). For the right popliteal percutaneous PTA and angiography, you should code 37224 (Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty). Tip: The descriptors for both...

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