Results 1 to 2 of 2

37221-lt, 37221-rt?

  1. #1
    Default 37221-lt, 37221-rt?
    New Call-to-action
    Would this be 37221-LT and 37221-RT? Thanks in advance for the help!

    PROCEDURE:
    Bilateral common iliac stent, bilateral selective angiogram.

    COMPLICATIONS:
    None.

    ESTIMATED BLOOD LOSS:
    Less than 5 mL.

    INDICATION FOR PROCEDURE:
    Lifestyle limiting claudication, recurrent stenting.

    DESCRIPTION OF PROCEDURE:
    After informed consent, discussion of risks and benefits, a 5-French
    sheath was placed in the right common femoral artery under ultrasound
    guidance. Angiography was performed using a Contra catheter. The patient
    has had 2 bare metal stents in the right common iliac and there are
    2 areas of stenosis inside the stent of 90% in both in the proximal
    edge and the distal edge. The patient was anticoagulated to a therapeutic
    ACT. A 7-French sheath was placed. The artery was stented with a 8.0
    x 58 atrium covered stent at 12 atmospheres of pressure to reach a size
    of 8.5 with good apposition. We then took selective angiography of
    the left. There was a significant lesion in the common femoral, but
    there was no gradient across it. On pullback, there was a 60 mm gradient
    in the common iliac, selective angiography confirmed 80 to 90% stenosis.
    Of note, right internal iliac is totally occluded and is supplied through
    sacral artery. The left internal iliac was patent. We decided to do
    a non-covered stent. The artery was stented with a cobalt 8.0 x 27
    stent at 10 atmospheres of pressure. The stent was post dilated proximally
    by a 9.0 __________ x 15. We did lose the internal iliac on the left.
    I am hoping that
    this collateralizes through that same sacral collateral. The patient
    was counseled on symptoms. Further recommendations to follow clinical
    course.

  2. #2
    Default
    I am still fairly new to coding, but this is what I believe; if you are doing the RT & LT vessel it would be 37221, and 37221-59.


    37221 Stent placement(s), iliac artery, unilateral, initial vessel;

    "Bilateral Indicator 0
    Bilateral surgery rules do not apply to codes with a status indicator 0. The bilateral indicator is inappropriate for reasons such as:

    Physiology; is not a bilateral body part.
    The codes description states it is an existing bilateral procedure.
    The procedure is not commonly performed as bilateral. (These services do not meet the bilateral criteria.)

    These codes should not be billed with modifiers 50, LT or RT."

    https://www.emblemhealth.com/Provide...ral-Procedures

Similar Threads

  1. 37221 and 37223 or just 37221?
    By suela923@aol.com in forum Interventional Radiology
    Replies: 2
    Last Post: 04-11-2014, 05:59 AM
  2. ? 37204, 37221
    By churst21 in forum Interventional Radiology
    Replies: 2
    Last Post: 08-09-2012, 02:26 PM
  3. 37221 Price
    By kromano in forum Cardiology
    Replies: 0
    Last Post: 06-20-2012, 09:15 PM
  4. Cpt 37221 - I have a claim
    By coders_rock! in forum Cardiology
    Replies: 1
    Last Post: 05-13-2011, 01:37 PM
  5. CPT 37221 and modifier 50?
    By Lisa Bledsoe in forum Interventional Radiology
    Replies: 5
    Last Post: 03-17-2011, 02:30 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.