Ask Dr. Z

What is meant by a complete runoff? Does the imaging have to be to the toes in order to bill for the complete runoff? "Both groins were prepped right common and left common femoral arteries were accessed; a 5 French sheath was placed into each vessel. There was high grade stenosis in the left common iliac artery and multiple stenosis in the external iliac artery, common femoral artery, and beginning of the SFA. On the right there was high grade stenosis of the RCA and occlusion of the RSFA and CF . We performed angioplasty across these areas using a 5 mm balloon x 200 in length and then deployed 8 mm x 57 in length expandable stents across the CIAs. We then deployed a stent across the ext iliac, CF, and the beginning of the SFA on both left and right sides and post-dilated these areas. After this, repeat contrast study revealed a widely patent iliac arterial system as well as common femoral arteries, SFA, and profunda femoris." Would the correct codes be 37226-50, 37221-RT, 37223-RT, 37221-76-XU-LT, 37223-XU-LT, and 75716-26-XE? In this case would it support the runoff?