Ask Dr. Z

Hello, This patient has extensive soft tissue infection/necrosis involving the entire posterior compartment of the groin region that extends distally to the mid thigh region with involvement of the femoral bifurcation The surgeon obtained inflow occlusion via an angioplasty balloon that was inflated. Question 1--can I bill for the access and the balloon? If so, would I use 37220 or 36245 and 37799? A triple ligation of the femoral artery to include the CFA proximally and the Profunda and SFA distally was done. Question 2--can 37618 be coded once or three times? Thank you, you are a great help!