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37242 vs 37236 vs 37226

Date: Jan 9, 2019

Question:

Our physician used a stent to cover a pseudoaneurysm in the common femoral artery. From a previous publication, I see that without the use of coils, a stent should be coded as a stent, which is now 37236. However, per our LCD in the Dallas, TX, area, Medicare will not pay 37236 + I72.4. However they will cover the 37226 with I72.4. Therefore, should I go ahead and code the stent placement with the 37226 code?

Question ID : 11859
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