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ASC and Provider Code Match

Date: May 12, 2025

Question:

Please help! I am just learning ASC coding. Our provider was "intending" to perform an angioplasty of the SFA in the ASC setting. However, the provider was never able to get the catheter past the contralateral external iliac and down into the SFA to attempt to cross or work on the SFA lesion. Per the provider documentation, all that can be reported is code 36246 for the catheter placement in the contralateral external iliac artery. Are we able to report code 37224-74 for the ASC (the patient did have anesthesia)? Is it okay that the provider's and ASC's CPT code would not match in this particular case? I have researched but cannot find a definitive guidance on this issue. 

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