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35355 and 37221 37222

Date: Feb 16, 2022

Question:

My doctors (co-surgeons) did bilateral iliofemoral endarterectomy then percutaneous stented bilateral common iliac arteries and angioplasty of bilateral external iliac arteries. He wants to bill 35355-50-62, 37221-50, and 37222-50. I don't agree. I believe this should be coded as 35355-50-62 and 37221-50-51. I feel any PTA in EIA is inflow, but he doesn't agree, as it was proximal EIA and endarterectomy was distal EIA and CFA. The other doctor I haven't seen yet, but he wants to bill 35355-62-50, 37221-80-50, 37222-50-80, so I think he is of the same opinion. Which of us is correct/wrong and why?

Question ID : 16551
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