Cardiology Coding Alert
Pick Apart Tibial Guidelines
Question: How should I report atherectomy in the posterior tibial and tibioperoneal trunk in the same leg?
Georgia Subscriber
Answer: You’ll report a single code for this service: 37229 (Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed).
You have to wade into the CPT® guidelines to find the support for using one code instead of reporting 37229 along with an “additional vessel” code. The guidelines state that the common tibioperoneal trunk is “part of the tibial/peroneal territory, but is not considered a separate, fourth segment of vessel in the tibio-peroneal family for CPT® reporting of endovascular lower extremity interventions. For instance, if lesions in the common tibio-peroneal trunk are treated in conjunction with lesions in the posterior tibial artery, a single code would be reported for treatment of this segment.”
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