Ask Dr. Z

Patient had stenting in the upper extremity previous day and had an angio seal break and developed an occlusion in the leg. When removing parts, the vessel ruptured and bled out, requiring ballooning and stenting to tamponade off the bleed -- it was not placed for a stenosis; however, the patient also had atherectomy performed in the vessel prior to stenting. Would this be reported with code 37227 or 37236? The confusion arises with the atherectomy portion of the procedure for coding if 37236 is the correct stenting code to use.