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35666 and 37228/37224 be billed together

Date: Jul 23, 2020

Question:

My question concerns coding 35666 and 37228/37224 together when the same vessels are involved. My physician placed an SFA femoral-posterior tibial bypass graft (35666) in the lower extremity due to atherosclerosis, and then following this procedure he did a balloon angioplasty in the superficial femoral artery (37224) and posterior tibial artery (37228) at the anastomosis to optimize inflow to the bypass graft. Would the balloon angioplasties be billable, or are they considered establishing inflow and outflow and are not billable?

Question ID : 14210
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