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Thrombosis lower extremity stent placement

M

MWatkins858

Expert
Messages
387
Location
Joshua Tree, CA
Pt has Common Femoral occlusion presumably from embolus from left heart thrombus.

MD performs thrombectomy 1st, but after several passes there is still clot there. He then places a stent to entrap the residual thrombus.

Would this scenario be codes as
37184
37236 (since it's for thrombosis and not stenosis)

or 37226 and 37186 (which seems wrong to me)

I don't need help coding the whole report just this specific scenario.

Thanks!!!!1
 
  • 37184 – Mechanical thrombectomy (CFA, initial).
  • 37236 – Stent placement (CFA, initial artery).No bundling issues here — these two can be reported together with proper documentation that shows:
    • Thrombectomy was attempted first.
    • Stent was placed secondarily to manage residual thrombus

Note: 37226 is specifically for stenting due to stenosis in the iliac artery, and the procedure here involves the common femoral artery (CFA), not the iliac.
 
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