Radiology Coding Alert

Question: I am trying to code for angioplasty of peroneal and tibioperoneal, and angioplasty with stent of the anterior tibial. How would I code this?Codify MemberAnswer: For your case, you should report 37230 (Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement[s], includes angioplasty within the same vessel, when performed) for the angioplasty and stent placement in the anterior tibial. You should report +37232 (Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty [List separately in addition to code for primary procedure]) once to cover the work in both the peroneal and tibioperonealHere's why: CPT® guidelines indicate that the "tibial/peroneal territory is divided into 3 vessels: anterior tibial, posterior tibial, and peroneal arteries."When you compare the instruction to your case (interventions in the anterior tibial, peroneal, and tibioperoneal), you see the anterior tibial counts as one vessel and the [...]