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Unable to use EPD embolic protection with cervical carotid stent

Date: Jul 16, 2020

Question:

We have a provider who sometimes performs cervical carotid stenting without embolic protection. The documentation does cover the factors for not using it - either that it was contraindicated in that patient for specified factors, or that it was not used as it was not "meaningful under the circumstances". Is there a scenario where it could ever be appropriate to code 37215-52 if the documentation indicates why it is contraindicated or not possible in that patient? Or is the only option 37216-GZ?

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