Wiki Is anyone getting denials for CPT 37227?

[ljones1216]

Aetna is denying CPT 37227- Stent placement(s) and atherectomy, femoral, popliteal artery(s), unilateral . For "procedure/ treatment is deemed experimental/ investigational by the payer. Can anyone assist?

 

[kjbeams]

Yes...Aetna has their own policy's for some CPT codes...check this site http://www.aetna.com/cpb/medical/data/200_299/0295.html for CPT code 37227.
Usually when a procedure is "deemed experimental: it is the diagnosis code that's the problem...or possibly your CPT code is for new technology. Good luck!