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37236 and 37237 for Aortic and Celiac Stents

Date: Jan 20, 2015

Question:

Our physicians have placed stents in the celiac artery and lower abdominal aorta due to high grade stenosis. Is 37236 the correct code for the stent placement? The LCD for our area does not include coverage information for the celiac artery or abdominal aorta like it does, for example, the renal and mesenteric arteries. Since it is not included in the policy, does that mean it would be considered investigational for the celiac and aorta or just not covered? Is there any way to be reimbursed for these procedures?

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