aforsythe
Networker
Needing some help clearing up a coding question in our office, we have several different opinions on coding the following case.
Our physician is performing a peripheral arteriogram and intervention. He placed the sheath in contralateral fashion into the right common femoral. Now we were able to navigate through the total occlusion of the right anterior tibial. The wire went very easily through this occlusion, it was felt that this was a thrombotic occlusion hence a Clearway therapeutic infusion catheter was placed inside the right anterior tibial and intrarterial of nitroglycerin infusion was performed to reduce thrombus burden. Now laser atherectomy of the right anterior tibial was performed using a 0.9mm laser catheter.
Would you just code for the atherectomy of the right anterior tibial or would the infusion of nitroglycerin be coded seperately with 37201 and a 59 modifier?
Thanks for any help.
Our physician is performing a peripheral arteriogram and intervention. He placed the sheath in contralateral fashion into the right common femoral. Now we were able to navigate through the total occlusion of the right anterior tibial. The wire went very easily through this occlusion, it was felt that this was a thrombotic occlusion hence a Clearway therapeutic infusion catheter was placed inside the right anterior tibial and intrarterial of nitroglycerin infusion was performed to reduce thrombus burden. Now laser atherectomy of the right anterior tibial was performed using a 0.9mm laser catheter.
Would you just code for the atherectomy of the right anterior tibial or would the infusion of nitroglycerin be coded seperately with 37201 and a 59 modifier?
Thanks for any help.