Ask Dr. Z

95% of the patients my practice sees have chronic total occlusions. This is shown through CTAs prior to the patient being presented for the operation. The doctors thus pre-plan thrombectomies for the occluded vessels. After performing an aortagram, sometimes transluminal angioplasty, stent placement, and atherectomy are required in the femoral artery. We use 37227 for this. My question is this: Can we perform 37184 and 37185 in addition to 37227 if the thrombectomies are pre-planned? The most common vessels they perform thrombectomies on are the CFA, SFA, Popliteal, and Peroneal.