• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Lower Ext Revascularization: TP trunk

Robbin109

Expert
Messages
332
Location
San Diego
Best answers
0
Ok, So I know the TP trunk is include if work also done in Posterior Tibial and is seperatly coded if work is done in Anterior Tibial and TP Trunk only ..but what about it work done in TP Trunk and Peroneal? Can you code the TP trunk in these cases?

Thanks!
 

Jim Pawloski

True Blue
Messages
1,353
Location
Ann Arbor
Best answers
0
Ok, So I know the TP trunk is include if work also done in Posterior Tibial and is seperatly coded if work is done in Anterior Tibial and TP Trunk only ..but what about it work done in TP Trunk and Peroneal? Can you code the TP trunk in these cases?

Thanks!
Sorry I don't have my coding info. with me, but I know that the Trunk is considered part of the vessel that was intervened. In this area, you can have three charges. The first vessel is the initial charge, which should be either a stent placement, atherectomy, or angioplasty. The other two are the additional vessel charges.
HTH,
Jim Pawloski, CIRCC
 

heatheralayna

Networker
Messages
64
Best answers
0
I agree with Jim, there is no additional code for TP trunk, you have three areas in that territory, the Anterior Tibial, the Peroneal, and the Posterior Tibial. The TP trunk is included with the other territories completed

HTH

Heather Shaw, CPC, CIRCC
 

Robbin109

Expert
Messages
332
Location
San Diego
Best answers
0
According To Dr. Z' Cardiology coding reference, The TP trunk is considered a separeate vessel from the Anterior Tibial Artery....

Just wasn't sure about the peroneal..but guessing it's included.
 

donnajrichmond

True Blue
Messages
518
Location
Alexandria, LA
Best answers
0
According To Dr. Z' Cardiology coding reference, The TP trunk is considered a separeate vessel from the Anterior Tibial Artery....

Just wasn't sure about the peroneal..but guessing it's included.
Revascularization in the TP trunk can be coded if it is the only vessel treated in that territory, or if the TP trunk and the anterior tibial are each separately treated. Otherwise, the TP trunk is considered part of both the peroneal and the posterior tibial.
Examples:
1) angioplasty and stent in TP trunk - code 37230
2) angioplasty and stent in TP trunk and atherectomy in peroneal - code 37231
3) angioplasty in TP trunk and stent in posterior tibial - code 37230
4) angioplasty and stent in TP trunk and angioplasty and stent in anterior tibial - code 37230, 37234

See Clinical Examples in Radiology, Spring 2011
 
Top