tci General Surgery Coding Alert - 2011 Issue 6

Reader Questions: 37229-37233 Warrant Multiple Charge Codes

Question: Our surgeon performed an atherectomy and PTA in the PT, AT, and peroneal arteries, accessed with atherectomy through the tibial/peroneal trunk. How should we code this? California Subscriber Answer: The correct coding for this scenario is 37229 (Revascularization, endovascular, open or percutaneous, tibial/ peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed), and two units of +37233 (Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed [List separately in addition to code for primary procedure]). Here's why: You should not...

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