Billing Codes for Peripheral Interventions

Billing codes will relate specifically to procedures performed and should be supported with physician documentation and medical records. Ultimately, it is the responsibility of the provider to submit appropriate codes. Abbott Vascular recommends that providers contact their Medicare Fiscal Intermediary, Carrier, and/or other Third-Party payer to verify correct coverage, coding and billing for medical procedures and products.

Hospital Inpatient Procedure Codes

ICD-9 Procedure Codes - Peripheral Procedures
Adjunct Codes for Inpatient Vascular Procedures

Outpatient / Physician Codes / CPT® Codes

Catheter Placement
Peripheral Angiography with Radiological Supervision and Interpretation
Peripheral Angioplasty
Peripheral Stent Placement

Vessel Closure

Procedure Code

Hospital Inpatient Procedure Codes

ICD-9 Procedure Codes

Procedure code	Description
39.50	Angioplasty or atherectomy of other non-coronary vessel(s)
39.90*	Insertion of non-drug eluting peripheral vessel stent(s)

*CAUTION: The RX HERCULINK ELITE^TM Renal Stent System is an investigational device. Limited by Federal (U.S.) law to investigational use only.

Adjunct Procedure Codes for Inpatient Vascular Procedures

These codes apply to both coronary and peripheral procedures. The codes below are used in conjunction with other (primary) therapeutic procedure codes to provide additional information and to indicate the number of vessels treated and/or the placement of multiple stents.

Code	Description – number of vessels treated
00.40 00.41 00.42 00.43	Procedure on a single vessel/Number of vessels, unspecified Procedure on two vessels Procedure on three vessels Procedure on four or more vessels
Code	Description – Number of Stents Placed
00.45 00.46 00.47 00.48	Insertion of one vascular stent/Number of stents unspecified* Insertion of two vascular stents Insertion of three vascular stents Insertion of four or more vascular stents

*CAUTION: The RX HERCULINK ELITE^TM Renal Stent System is an investigational device. Limited by Federal (U.S.) law to investigational use only.

Outpatient / Physician Codes / CPT® Codes

Catheter Placement

No separate payment for hospital payment (inpatient or outpatient), bundled by Medicare into other procedures
CPT Code	Description
36215	Selective catheter placement, arterial system; each, first order thoracic or brachiocephalic branch, within a vascular family
36216	Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family
36217	Selective catheter placement, arterial system; initial third order thoracic or brachiocephalic branch within a vascular family
+36218	Selective catheter placement, arterial system; additional second order, third order and beyond, thoracic or brachiocephalic branch, within a vascular family (list in addition to code for initial second or third order vessel as appropriate)
36245	Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch within a vascular family
36246	Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch within a vascular family
36247	Selective catheter placement, arterial system; initial third order abdominal, pelvic, or lower extremity artery branch within a vascular family
+36248	Selective catheter placement, arterial system; additional second order, third order and beyond, abdominal, pelvic, or lower extremity artery branch within a vascular family (list in addition to code for initial second or third order vessel as appropriate)

Peripheral Angiography with Radiological Supervision and Interpretation

Diagnostic and Procedural Angiography, Venography, Angioplasty, and Atherectomy except extremity, Radiological S&I
Level I Angiography, Venography, except extremity radiological S&I
CPT Code	Description
75660	External carotid, unilateral selective
75733	Adrenal, bilateral selective angiography
75820 & 75822	Venography, extremity, unilateral & bilateral
75860	Venography, sinus or jugular, catheter
75870	Venography, superior sagittal sinus
75880	Venography, orbital
75885 & 75887	Percutaneous transhepatic portography with & without hemodynamic evaluation
75889 & 75891	Hepatic venography, wedged or free with & without hemodynamic evaluation
75960	Transcatheter intro. of stent, except coronary, carotid and vertebral vessels (percutaneous or open)
75961	Transcatheter retrieval of foreign body, percutaneous
75962	Percutaneous transluminal balloon angioplasty (PTA)
+75964	PTA, peripheral artery, each additional artery
75966	PTA, renal or other visceral artery
+75968	PTA, each additional visceral artery
75970	Transcatheter biopsy
75978	Transluminal balloon angioplasty, venous
75992	Atherectomy, peripheral artery
+75993	Atherectomy, peripheral artery, each additional artery
75994	Atherectomy, renal artery

Level II Angiography, Venography, except extremity radiological S&I
CPT Code	Description
75658	Brachial retrograde study
75756	Internal mammary
+75774	Angiography, each additional vessel studied beyond basic exam (list separately in addition to code for primary procedure)
75790	Visualize A-V shunt
75831	Renal unilateral & bilateral selective venography
75887	Percutaneous transhepatic portography w/o hemodynamic evaluation
75992	Athrectomy, peripheral artery
75993	Athrectomy, peripheral artery, each additional artery
75994	Athrectomy, renal artery
75995	Athrectomy visceral artery
75996	Athrectomy, each additional visceral artery

Level III Angiography, Venography except extremity radiological S&I
CPT Code	Description
75650	Arch (cervicocerebral) study includes vessel origin
75662	External carotids, bilateral selective
75665 & 75671	Internal Carotid cerebrals, unilateral / bilateral studies
75676 & 75680	Internal Carotid cervicals, unilateral / bilateral studies
75710 & 75716	Extremity study, unilateral / bilateral
75722 & 75724	Renal study, unilateral / bilateral
75726	Visceral, selective or supraselective, (including flush aortogram)
75731	Adrenals, unilateral selective angiography
75736	Visceral, selective or supraselective
75885	Transhepatic portography with hemodynamic evaluation
75889	Hepatic venography, wedged or free, with hemodynamic evaluation

Peripheral Angioplasty

Non-coronary Angioplasty Open and Percutaneous
Transluminal balloon angioplasty, open
CPT Code	Description
35450	Renal or other visceral artery (non-aorta)
35454	Illiac
35456	Femoral – popliteal
35458	Brachiocephalic, trunk or branches, each vessel
35459	Tibioperoneal trunk & branches
35460	Venous Angioplasty, Open method

Transluminal balloon angioplasty, percutaneous
CPT Code	Description
35470	Tibioperoneal trunk or branches, each vessel
35471	Renal or visceral artery
35473	Iliac
35474	Femoral-popliteal
35475	Brachiocephalic trunk or branches, each vessel
35476	venous

Peripheral Stent Placement

Transvascular Placement of Intravascular Stent(s)
CPT Code	Description
37205*	Transcatheter stent, non-coronary, percutaneous; initial vessel
+37206*	Transcatheter stent, non-coronary, percutaneous; each additional vessel
37207	Transcatheter stent, non-coronary, open; initial vessel
+37208	Transcatheter stent, non-coronary, open; each additional vessel

*CAUTION: The RX HERCULINK ELITE ™ Renal Stent System is an investigational device. Limited by Federal (U.S.) law to investigational use only.

Vessel Closure

The following code has been assigned to occlusive devices by CMS: G0269

G0269 is defined as: placement of an occlusive device in either a venous or arterial access site, post-surgical or interventional procedure. Code G0269 should be used on Medicare claims to record the placement of the vasoseal and for other payers as directed.

References

Centers for Medicare and Medicaid Services at www.cms.hhs.gov

Centers for Medicare and Medicaid Services at: http://a257.g.akamaitech.net/7/257/2422/01jan20051800/edocket.access.gpo.gov/2005/pdf/05-22136.pdf

ICD-9-CM for Hospitals – Volumes 1,2 & 3; 2006 Professional; 6th edition; edited by Anita C. Hart, RHIA, CCS, CCS-P, Catherine A. Hopkins, Beth Ford, RHIT, CCS; Ingenix

Current Procedure Terminology (CPT®) is copyright 2006. American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

American Medical Association. Current Procedural Terminology (CPT®) 2006. Professional Edition. Chicago, IL: 2005.

Last Updated: May 2008

Disclaimer: The information provided on this website was obtained from third-party sources and is subject to change without notice, as a result of changes in reimbursement laws, regulations, rules and policies. All content on this website is informational only, general in nature and does not cover all situations or all payers’ rules and policies. This content is not intended to instruct medical providers on how to use or bill for healthcare procedures including new technologies outside of Medicare national guidelines. A determination of medical necessity is a prerequisite that Abbott Vascular assumes will have been made prior to assigning codes or requesting payments. Medical providers should consult with appropriate payers, including Medicare fiscal intermediaries and carriers, for specific information on proper coding, billing and payment levels for healthcare procedures.

This website represents no promise or guarantee by Abbott Vascular regarding coverage, coding, billing and payment levels. Abbott Vascular specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information on this website.

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