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Lower Extremity Endovascular Update: AAPC National

2/27/20111 Lower Extremity Endovascular Update: AAPC NationalLong Beach, CA April 4, 2011 Presented by:David Zielske, MD, CIRCC, CPC H, CCC, CCS, RCC2 Lower Extremity Endovascular RevascularizationCodes 37220 37235 2/27/201123 The following guidelines apply to codes 37220 37235, and refer to interventions described by angioplasty, atherectomy and stent placement for treatment of occlusive vascular disease. Angioplasty utilizes a balloon to dilate a hemodynamically significant vessel stenosis. The balloon may be a compliant or non compliant balloon, a cryoplasty balloon, a cutting balloon, etc.

Stent placement utilizes a bare metal, drug‐eluting, balloon‐ expandable, self‐expanding or covered stent to effectively treat the lesion(s) Codes 37220‐37235 all include an angioplasty if performed 2011 Guidelines for Lower Extremity Arterial Revascularization Procedures 4

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