tci General Surgery Coding Alert - 2017 Issue 8

Reader Question: Think 'Foreign Body' for Stent Removal

Question: Our surgeon removed a coronary artery stent through a catheter. Should we bill this as 37193? Illinois Subscriber Answer: No, you should not report the service as 37193 (Retrieval [removal] of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance [ultrasound and fluoroscopy], when performed). This code specifically describes removal of a vena cava filter, not a coronary artery stent. For the procedure you describe, a better code choice is 37197 (Transcatheter retrieval, percutaneous, of intravascular foreign body [eg, fractured venous or arterial catheter], includes radiological...

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