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new Lower Extremity Intervention codes

  1. Default new Lower Extremity Intervention codes
    Medical Coding Books
    This is a hypothetical scenario. I am trying to better understand the new LE codes and what is included.

    If an angioplasty was done in the fem-pop territory (37224), then catheter advanced to the posterior tibial and thrombectomy done (37184 or 37186), would the additionally selective catheter placement (36247) be additionally reported since it was more selective than the fem-pop angioplasty? Or, would 36247 not be billable at all on the same side as 37224 since it is in the same vascular family?

  2. #2
    Default
    Quote Originally Posted by kcassidy View Post
    This is a hypothetical scenario. I am trying to better understand the new LE codes and what is included.

    If an angioplasty was done in the fem-pop territory (37224), then catheter advanced to the posterior tibial and thrombectomy done (37184 or 37186), would the additionally selective catheter placement (36247) be additionally reported since it was more selective than the fem-pop angioplasty? Or, would 36247 not be billable at all on the same side as 37224 since it is in the same vascular family?
    Catheter placement is bundled into the interventional procedure.
    HTH,
    Jim Pawloski, CIRCC

  3. Default
    Thank you, Jim, for your response. In order to be sure I "get it", please let me know if you agree/disagree with the following statement.

    Any catheterization from the same access site through which a lower extremity intervention is performed is bundled into the intervention even if the catheterization is MORE selective than where the intervention occurred.

    Thank you.

  4. #4
    Location
    Melbourne, FL
    Posts
    51
    Default cath
    Any cath work done from the same access site is included in the new 37220-37235 codes is correct statement.

    ZHealth Publishing is an excellent resource!

    Kim, CPC
    (CIRCC training)

  5. #5
    Default bilateral????
    OFF SUBJECT- However curious how all of you are coding bilateral interventions.
    Iliac stents in both left/right common iliac arteries.

    37221-50
    OR
    37221-RT
    37221-LT/59

  6. #6
    Default
    Quote Originally Posted by cmweyand View Post
    OFF SUBJECT- However curious how all of you are coding bilateral interventions.
    Iliac stents in both left/right common iliac arteries.

    37221-50
    OR
    37221-RT
    37221-LT/59
    I would use the second option for this.
    If you do not have Dr.Z's book, in the CPT book just before the lower extremity revascularization codes, in the green section, does explains the part of losing the selectivity charges when a intervention is performed.

    HTH,
    Jim Pawloski

  7. #7
    Default
    I bill the 2nd choice for bilateral for the new endovascular codes.
    Jill Tom, COC, CPC, CPMA, CPC-I
    East Valley Kachina Coders
    East Valley Mesa, AZ AAPC Local Chapter
    President 2011
    President-Elect 2010
    New Member Development Officer 2009
    jillmtom@yahoo.com

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