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Radiology Coding Alert

READER QUESTIONS :

Float Through Cryoplasty Balloon Claim

Published on Tue Aug 11, 2009

Question: If the radiologist documents "peripheral angioplasty with cryoplasty balloon of critical stenosis in the distal left SFA and left popliteal artery," which CPT codes should I report for a hospital procedure? He accessed the vessel from the right femoral artery. Georgia Subscriber Answer: For the superficial femoral artery (SFA) intervention, you can report 35474 (Transluminal balloon angioplasty, percutaneous; femoral-popliteal) and 75962-26 (Transluminal balloon angioplasty, peripheral artery, radiological supervision and interpretation; Professional component). Note the modifier 26 on the RS&I code to indicate you're reporting only the professional service. Assuming that these two interventions address separate lesions (rather than one lesion that overlaps the two vessels), you also would need to code for the popliteal PTA with 35474-59 (... Distinct procedural service) and +75964-26 (Transluminal balloon angioplasty, each additional peripheral artery, radiological supervision and interpretation [List separately in addition to code for primary procedure]). How to count lesions: AMA's CPT [...]
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