Please note this question was answered in 2021. The coding advice may or may not be outdated.
TAVR with Shockwave Lithotripsy
Date: Feb 5, 2021
Question:
We are seeing more of our doctors perform shockwave lithotripsy ballooning during the same session as a TAVR. I have read that having calcified iliacs does increase the risk of serious complications during a TAVR. It seems to me that this is only being done to help facilitate the transfemoral access safely. Are we correct in not coding separately when we see this? Would there be a situation when we should be coding separately for the shockwave of the iliacs when done in conjunction with a TAVR?
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