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Additional Catheter Placement with Code 37224

Date: Feb 19, 2014

Question:

Access via right common femoral artery, descending aortogram (75630-59) then selective angiogram of contralateral popliteal artery. Decision made to intervene on SFA in-stent restenosis & to open up PT lesion. Attempted to cross PT lesion with a wire with support from an 0.018 Quick Cross catheter then a TruePath device but was unable. Sheath pulled back to LT CFA, then 6.0x150mm Savvy balloon inflated to 10 ATM in SFA for 1 min in stent w/excellent results. 37224-LT assigned. CPT Assistant, Oct 2011 p9, 11 LRevascularization of lower extremities & associated catheterization, advises a higher-level cath can be reported additionally w/-59. Although both are 3rd level selectivity, tibial/peroneal territory is further advancement than SFA in femoral/popliteal territory. Can we report 36247-59 for the cath placement in the PT?

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