Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2023. The coding advice may or may not be outdated.

Can this be coded as 37229?

Date: Mar 13, 2023

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."

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!