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Multiple Peripheral Access sites due to claudication

Date: Dec 4, 2023

Question:

Left Femoral access was obtained; RT Common Iliac was imaged and the catheter would not advance further due to claudication. RT Anterior Tibial access was obtained; angiography was performed and the stented lesion could not be crossed. A third access was gained; antegrade of the RT Common Femoral Artery; to SFA where PTA was performed. The hospital is capturing: CPT-37224 only. Generally the catheter placements are bundled with the intervention; however here there are multiple access sites (3) obtained. Should the other access sites also be coded for RT Common Iliac and Rt Anterior Tibial and if so what CPT's would apply here? CPT-36247/CPT-36140 or just CPT-36140 times two? Thank you for sharing your expertise on this issue!

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