• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki CPT coding for stent placement (revascularization)

Mrsrpc

Guru
Messages
139
Location
Mooresville, NC
Best answers
0
The example: "2 stents are placed in the femoral artery and 2 stents placed in the popliteal artery." The answer: Only one procedure can be reported in this territory 37226.
HOWEVER, the CPT book pg 311 under "Endovasc Revasc (open or percutaneous, transcath). Says "Only one code from this family (37220-37235) should be reported for EACH lower extremity VESSEL treated."

So, why isn't the answer 37226, 37226-(maybe with mod 59)?

Am i interpreting the CPT code book correctly?
 
The example: "2 stents are placed in the femoral artery and 2 stents placed in the popliteal artery." The answer: Only one procedure can be reported in this territory 37226.
HOWEVER, the CPT book pg 311 under "Endovasc Revasc (open or percutaneous, transcath). Says "Only one code from this family (37220-37235) should be reported for EACH lower extremity VESSEL treated."

So, why isn't the answer 37226, 37226-(maybe with mod 59)?

Am i interpreting the CPT code book correctly?
If you look at pg 312 it says the entire femoral/popliteal territory in 1 lower extremity is considered a single vessel for CPT reporting specifically for the endovascular lower extremity revscularization codes 37224-37227.
 
Top