Results 1 to 5 of 5

Vascular Surgery Anyone???

  1. Unhappy Vascular Surgery Anyone???
    Medical Coding Books
    Hello. I have an OP report I have been struggling with. If anyone else does vascular and could help, I would sure appreciate it!
    The patient had a previous fem-pop bypass graft, saphenous vein. This vein segment is occluded. First the vein was accessed, and arteriogram was done. "outflow was thru the anterior tibial vein and I was able to pass a wire into this" .... and a stent was deployed. The balloon became disconnected to the stent, so the stent was deployed where it was and a second stent was ATTEMPTED. The graft was opened more distally, the stent removed and the arteriotomy closed with a patch graft. Another arteriogram was performed revealing satisfactory flow. All wounds closed...
    Thats the basics.
    I haven't a clue what to code.... Any help, again, is appreciated. Thanks. Karla

  2. Smile
    I would code one stent 37207 because it was an open stent, cath placement 36140 because he never changed from the original vessel. then depending on the findings to which S&I codes to use. based on the info provided that is the advise I can give

  3. #3
    Default Slg
    I would bill for the catheterization, (based on the approach), and where the catheter tip was placed, the arteriogram if it was the "inital" and 1 stent. (This sounds like a balloon expandable stent.) So If one stent deployed and remained, and the other removed, I would bill only one stent.

  4. #4
    I agree with the above

  5. #5
    I would still only bill for the catheterization, any initial S&I from that Catheterization, and 1 stent. Even if both stents were to have stayed in the vessel. This is a situation where I would need to see the op note to give specific codes for these procedures.

Similar Threads

  1. vascular surgery
    By isismike in forum Diagnosis Coding
    Replies: 0
    Last Post: 06-26-2014, 01:20 AM
  2. vascular surgery - depth training
    By brigitte in forum General Surgery
    Replies: 1
    Last Post: 12-17-2013, 12:27 PM
  3. Vascular Surgery
    By ptaylor8299 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 04-16-2013, 07:05 PM
  4. Vascular Surgery Help!!!
    By nancygard1 in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 03-12-2013, 09:01 AM

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?


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.