Acceptable primary px codes to use with add-on 37186

chelle1

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Hi... our system denied CPT 37186 with primary procedure, CPT 36253. Is there a list of acceptable primary px that 37186 can be used with? CPT book does not say specifically state anything that I could see.
 

ishtiyaq.ahmad

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Arterial mechanical thrombectomy is considered a " secondary " transcatheter procedure for removal or retrieval of short segments of thrombus or embolus when performed either before or after another percutaneous intervention(eg: percutaneous transluminal balloon angioplasty, stent placement). Secondary mechanical thrombectomy is reported using 37186.

Its not suitable with 36253.

Hope it may help. :)
 
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Secondary thrombectomy may be necessary, before definitive therapy of a lesion, if there is fresh thrombus complicating a stenosis (to prevent distal embolization during the definitive therapy such as PTA or stent) and after an intervention, if there is a distal embolus complicating a definitive therapy of a lesion. Secondary arterial mechanical thrombectomy is always performed in conjunction with another intervention (eg, transluminal balloon angioplasty, stent placement, which is reported separately).
 
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