AAPC - Back to school
Results 1 to 2 of 2

Thread: PTA & Atherectomy

  1. #1

    Default PTA & Atherectomy

    AAPC: Back to School
    Please help, The surgeon assigns his own CPT codes, and I need help in understanding this surgery. I know that everyone is busy with their own coding, and I am greatful for any help you may give

    this is just a short segment from the op note
    "Angiography here showed all three tibial vessels to be patent and a 0.14 wire was passed into the perineal artery and the occluded superficial femoral artery and popliteal were atherectomized using the 2.0 laser. Follow-up angiogram showed continued severe stenosis and a 5-mm ballon was insterted. This did almost nothing as fas as dilating the vessel was concerened and it was felt that stenting was required."

    These are the codes he assigned for this portion of the procedure:
    35493, 35493-59, 35474, 35474-59, 75992, 75993, 75962x2
    I am confused why he coded 35493, and 35474 twice?
    Do you code for the femoral artery and popliteal seperately?

  2. #2


    this report is pretty vague...I would only do one 75992/35493 (the code is for the fem-pop) If he did separately angioplasty the SFA and the popliteal arteries, you can code for both (per the 2008 Interventional Radiology Coder). 75962, 75964, 35474x2. This report isn't very clear of that though.

Similar Threads

  1. Left Fem Angio/atherectomy & PTA w/runoff
    By csorensen21@yahoo.com in forum Interventional Radiology
    Replies: 2
    Last Post: 10-23-2014, 09:16 AM
  2. Pta atherectomy femoral/popliteal
    By OPENSHAW in forum Cardiology
    Replies: 2
    Last Post: 04-17-2013, 09:56 AM
  3. pta/atherectomy & stent in iliac
    By darlene caldarera in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-22-2011, 09:09 AM
  4. Tibial atherectomy and PTA
    By cmblocher in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 07-15-2009, 08:33 AM
  5. PTA / Stents / Atherectomy
    By OliviaPrice in forum Cardiology
    Replies: 0
    Last Post: 10-22-2008, 03:55 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?


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.