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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), thrombectomy (37184, 37185, 37186)

• Angioplasty utilizes a balloon to dilate a ^hemodynamically significant vessel stenosis. This includes use of a compliant or non-compliant balloon, a cryoplasty balloon or a cutting balloon • Atherectomy is performed utilizing photoablation (laser), rotational

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