Forum - Questions & Answers

Aug 18th, 2015 - nancyelizabeth

surgical coding

I am trying to code a surgical code for an angioplasty with stint replacement. im dumb founded. please help. im new at all this

Aug 18th, 2015 -

re: surgical coding

this article was taking from codepedia, if you browse the articles in codepedia, you can find your answers;

Definition:

Revascularization procedures are used to treat lower extremity occlusive vascular disease by reinstating circulation to the extremity. These endovascular procedures are performed percutaneously or through open surgical exposure and may include balloon angioplasty (e.g., low-profile, cutting balloon, cryoplasty),atherectomy (e.g., directional, rotational, laser), and stenting (e.g., balloon-expanding, self-expanding, bare metal, covered, drug-eluting).


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Iliac Vascular Territory: The iliac is divided into three vessels: common iliac, internal iliac, and external iliac. Femoral/Popliteal Territory: This area includes the common femoral, lateral circumflex, profunda femoris, medial descending, lateral descending, perforating branches, superficial femoral, popliteal, and geniculate arteries.



Tibial/Peroneal Territory: This area includes the common tibio-peroneal trunk, anterior tibial, peroneal, and posterior tibial.



SUPPORTING DOCUMENTATION:



History and Physical: A full history and physical should be obtained from the referring physician detailing the physical findings and symptoms that indicate occlusive vascular disease, and the diagnostic test(s) performed that indicate the endovascular revascularization is necessary.



Final Note/Summary: The final note should indicate the detailed description of the procedure(s) performed and any resultant complications. Follow up and treatment options should also be documented.

Indications / Associated Pathology:

Atherosclerosis of the lower extremity arteries

Stenosis or ischemia of lower extremity arteries

Chronic occlusion of lower extremity artery

Intermittent claudication, rest pain, ulcers, gangrene

Diabetes with peripheral vascular disease

Procedure description


CPT® code

Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty


37220

Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel;with transluminal stent placement(s), includes angioplasty within same vessel, when performed


37221

Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; each additional ipsilateral iliac vessel: with transluminal angioplasty


+37222

Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; each additional ipsilateral iliac vessel with transluminal stent placement(s), includes angioplasty within the same vessel, when performed


+37223

Revascularization, endovascular, open or percutaneous, Femoral/popliteal artery(s), unilateral; with transluminal angioplasty


37224

Revascularization, endovascular, open or percutaneous, femoral/popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed


37225

Revascularization, endovascular, open or percutaneous, femoral/popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when

performed


37226

Revascularization, endovascular, open or percutaneous, femoral/popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the

same vessel, when performed


37227

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, initialvessel; with transluminal angioplasty


37228

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed


37229

Revascularization, endovascular, open or percutaneous, Tibial/peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed


37230

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the

same vessel, when performed


37231

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty


+37232

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed


+37233

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed


+37234

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed


+37235


































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