Ask Dr. Z

Can we bill CPT code 37252 in the cases where the Pioneer Re-entry Device is used for guidance? Example of case below:

"Multiple wires were used to try to traverse from the false lumen into the true lumen at the level of the distal SFA which were unsuccessful thus the decision was made to proceed with Pioneer re-entry device. A 0.014 grand slam was advanced & doubled over into the false lumen at the level of the distal SFA. Then the Pioneer re-entry device which utilized intravascular ultrasound guidance (IVUS) was advanced to the level of the distal SFA. Utilizing intravascular ultrasound imaging the Pioneer catheter was used to target the true lumen from the false lumen. After successful recanalization & re-entry into the true lumen of the distal SFA with the Pioneer device, popliteal angiogram was performed to confirm positioning within the true lumen."