tci General Surgery Coding Alert - 2014 Issue 12

Reader Question: Follow Guidelines to Master This Vascular Case

Question: Our surgeon performed an atherectomy in the posterior tibial artery and the tibioperoneal trunk of the left leg. What is the correct way to code this? SuperCoder Subscriber Answer: The correct code for this service is single unit of 37229 (Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed). Here’s why: Although CPT® specifies that 37229 is for the “initial vessel” only, the tibioperoneal trunk does not count as a separate vessel. That means you should include treatment of lesions in the trunk in...

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