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37184 and 37186 both with different devices

Date: May 16, 2023

Question:

I'm sure you've answered this question, but unfortunately it seems the information I've shared from your Q&A database doesn't satisfy the provider.

A known thrombus in the SFA is treated with Jetstream catheter, then atherectomy and stent are placed. This is coded with 37227 and 37184.

Meanwhile, secondary thrombus is found in the tibials, and a separate Penumbra catheter is used to treat those vessels to remove thrombus. Provider also wants to code 37186.

CPT guidelines direct coder to NOT report 37184 and 37186 together. The provider disagrees stating that the Penumbra catheter is very expensive to use and should be able to report for the extra work involved.

How would you handle this?

Question ID : 18765
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