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TP Trunk IVUS

Date: Dec 19, 2022

Question:

Can we code for the tibial/peroneal trunk IVUS if the popliteal artery, the tibial/peroneal trunk, the peroneal artery, and the posterior tibial artery are all evaluated with IVUS with diagnostic findings and measurements (for separate stenoses evaluation)? Would the tibial/peroneal trunk be considered an "additional non-coronary vessel" for coding purposes? The tibial/peroneal trunk is not necessarily a separate vessel as defined by the CPT Appendix L vessels, so I'm wondering if this section of vessel can be reported additionally with IVUS code when performed and appropriately documented?

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