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Interventional Cardiovascular Coding: Peripherals

3/1/201111 Interventional Cardiovascular Coding: PeripheralsAngioplastyAtherectomyStent Placement2 Peripheral Interventions Agenda Lower Extremity Endovascular Revascularization Non-Lower Extremity Angioplasty, Atherectomy and Stent Placement3/1/201123 Lower Extremity Endovascular Revascularization CPT codes 37220-37235 describe the use of endovascular techniques for lower extremity revascularization The endovascular techniques described by these codes include angioplasty, atherectomy and stent placement Angioplasty is included in all these codes The procedures may be performed using percutaneous and/or open techniques The clinical indication is treatment of occlusive vascular disease Separately reportable procedures include thrombolysis (37201, 75896)

required stent placement for dissection. The separate popliteal occlusion is treated with laser atherectomy. 26 Lower Extremity Arterial Anatomy Right Transfemoral Approach First order Second order Third order Non-selective Antegrade Right Femoral Approach Retrograde Right Femoral Approach

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