Ask Dr. Z

My provider dictated that he performed an angioplasty but then also utilized mechanical thrombectomy with an AngioJet. "The AngioJet proxi mechanical thrombectomy catheter device was used to perform mechanical thrombectomy through the distal SFA within the occluded stent. A subsequent angiogram revealed patency through the stent with persistent severe narrowing. Angioplasty was then performed. Impression: Occluded distal left superficial femoral artery with an indwelling stent treated with a combination of mechanical thrombectomy and angioplasty with excellent final angiographic results." I've researched and couldn't find anything that would seem to preclude reporting both codes 37224 and 37186.