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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) and embolization procedures (37204, 75894, 75898)4 Lower Extremity Endovascular Revascularization Angioplasty utilizes a balloon to dilate a hemodynamically significant vessel stenosis.

– The angiography is included in the interventional procedural code description ... Patient with left leg pain. Via right femoral approach, selective complete bilateral lower extremity run-off is performed with catheter placement in the left common iliac and via sheath. A 90% stenosis of left common and a separate

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