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Venous stenting Lower Extremity

Date: Dec 4, 2023

Question:

Is 37238-RT, 37239-LT, 37239-LT appropriate?

64% compression in the right common iliac

58% compression in the right external iliac

57% compression in the left external iliac

60% compression in the left common femoral

Stent to the right CIV that covered the compression of the right EIV

Stent to the left EIV

Stent to the left CFV

IVUS shows separate compression of the left CFV.

Insurance has denied 37238 for modifier. "After review of the medical record, bilateral stent placement in the lower extremity venous system was supported. There is a more appropriate modifier available."

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