Can this be coded as 37229?
Question:
Can you assist whether 37229 would be appropriate for this procedure?
"The patient was systemically anticoagulated. A 018 wire and catheter were used to recanalize the total occlusion of the anterior tibial artery with re-entry at the dpa in the foot. A 014 wire was then exchanged for the 018 wire in preparation for atherectomy. IVUS was used over the wire for vessel sizing in the vessel. This was used in the anterior tibial artery, superficial femoral artery, and popliteal artery. SFA and popliteal artery had minimal disease. The ATA was occluded with a native vessel size of 2.5 - 3 mm. The segment was treated with CSI atherectomy throughout. Angioplasty with a 3x0 x 220 mm balloon was performed. There was recoil of the vessel with incomplete revascularization. The patient had a labile blood pressure during the CSI, likely secondary to the low dose vasodilator. This returned to normal with additional IV fluids. At this point, the case was completed. The wire and catheter were removed."
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