Wiki Lower extremity stenting

[tamimyren]

What codes/modifiers should be used for the following:

PROCEDURE: Bilateral peripheral angiogram with selective angiography of the right and left legs. Angioplasty and stenting of the right common iliac with an 8 x 59 Viabahn and angioplasty and stenting of the left common iliac with an 8 x 39 Viabahn. Intravascular ultrasound of the right iliac. I have 75716-26, 37221-50, 37252-59 Thanks in advance

 

[pamela.mason@optum.com]

What codes/modifiers should be used for the following:

PROCEDURE: Bilateral peripheral angiogram with selective angiography of the right and left legs. Angioplasty and stenting of the right common iliac with an 8 x 59 Viabahn and angioplasty and stenting of the left common iliac with an 8 x 39 Viabahn. Intravascular ultrasound of the right iliac. I have 75716-26, 37221-50, 37252-59 Thanks in advance

Hi,
I have been a cardiology coder for years. If the patient has had a CT of lower extremities, then 75716 would bundle into 37221 therefore it is not reportable. Also, you would not need a modifier 59 however you may need lateral modifier depending on the payer. Also be careful that it is two separate lesions and not one long lesion extending to each vessel. If you further questions you can email me at masonpamela0@gmail.com