Ask Dr. Z

Patient had very severe ICA stenosis and M2 occlusion initially. Planned for thrombectomy, but after primary angioplasty the thrombus was noted to have cleared. Further carotid angioplasty and stenosis was deferred, as well as intracranial exploration, because the patient was VERY sensitive to angioplasty, becoming asystolic instantly, requiring atropine resuscitation. Only cervical carotid angioplasty WITH protection device, but WITHOUT stenting was performed. Provider is asking if we can still bill 37236 on this one? Or should it now just be 37215-52? Please advise.