Radiology Coding Alert

Question: If I report 37205 and +37206, may I report 75960-26 twice?

New York Subscriber

Answer: Yes, if your documentation supports it.

Here's why: Code 75960-26 (Transcatheter introduction of intravascular stent[s] [except coronary, carotid, and vertebral vessel], percutaneous and/or open, radiological supervision and interpretation, each vessel;

Professional component) represents RS&I for "each vessel."

You report 37205 (Transcatheter placement of an intravascular stent[s], [except coronary, carotid, and vertebral vessel], percutaneous; initial vessel) for stent placement in a single vessel.

If the radiologist places a stent in a separate, additional vessel at the same encounter, then you also  report +37206 (... each additional vessel [List separately in addition to code for primary procedure]). Therefore 37205 (one vessel) and +37206 (one additional vessel) represent two vessels. You should report 75960-26 twice because you may report it for each vessel in which the radiologist placed a stent.

Check your payer's preference for reporting 75960 more than once. Some may prefer a single line with two units while others may prefer separate line items with a modifier attached to the second.