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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 Administrative Contractor and/or other Third-Party payer to verify correct coverage, coding and billing for medical procedures and products.
Hospital Inpatient Procedure Codes
Outpatient / Physician Codes / CPT® Codes
- Catheter Placement
- Peripheral Angiography with Radiological Supervision and Interpretation
- Peripheral Procedural Radiological Supervision and Interpretation
- Peripheral Angioplasty
- Peripheral Stent Placement
- Arteriovenous Graft/Shunt Procedures
Vessel Closure
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 (non-coronary) vessel stent(s) |
*CAUTION: The RX HERCULINK ELITE™ 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 |
Procedure on a single vessel/Number of vessels, unspecified |
| 00.41 |
Procedure on two vessels |
| 00.42 |
Procedure on three vessels |
| 00.43 |
Procedure on four or more vessels |
| 00.44 |
Procedure on vessel bifurcation |
| Code | Description - Number of Stents Placed |
|---|---|
| 00.45 |
Insertion of one vascular stent/Number of stents unspecified* |
| 00.46 |
Insertion of two vascular stents |
| 00.47 |
Insertion of three vascular stents |
| 00.48 |
Insertion of four or more vascular stents |
*CAUTION: The RX HERCULINK ELITE™ 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 |
| 36140 | Introduction of needle or intracatheter; extremity artery |
| 36200 |
Introduction of catheter, aorta |
| 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
| CPT | Description |
|---|---|
| 75625 |
Aortography, abdominal, by serialography, radiological supervision and interpretation |
| 75630 |
Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation |
| 75650 |
Angiography, cervicocerebral, catheter, including vessel origin, radiological supervision and interpretation |
| 75658 |
Angiography, brachial, retrograde, radiological supervision and interpretation |
| 75660 |
Angiography, external carotid, unilateral, selective, radiological supervision and interpretation |
| 75662 |
Angiography, external carotid, bilateral, selective, radiological supervision and interpretation |
| 75665 |
Angiography, carotid cerebral, unilateral, radiological supervision and interpretation |
| 75671 |
Angiography, carotid cerebral, bilateral, radiological supervision and interpretation |
| 75676 |
Angiography, carotid, cervical, unilateral, radiological supervision and interpretation |
| 75680 |
Angiography, carotid, cervical, bilateral, radiological supervision and interpretation |
| 75685 |
Angiography, vertebral, cervical and/or intracranial, radiological supervision and interpretation |
| 75710 |
Angiography, extremity, unilateral, radiological supervision and interpretation |
| 75716 |
Angiography, extremity, bilateral, radiological supervision and interpretation |
| 75722 |
Angiography, renal, unilateral, selective (including flush aortogram), radiological supervision and interpretation |
| 75724 |
Angiography, renal, bilateral, selective (including flush aortogram), radiological supervision and interpretation |
| 75726 |
Angiography, visceral, selective or supraselective, (with or without flush aortogram), radiological supervision and interpretation |
| 75736 |
Angiography, pelvic, selective or supraselective, radiological supervision and interpretation |
| +75774 |
Angiography, selective, each additional vessel studied after basic exam, radiological supervision and interpretation (list separately in addition to code for primary procedure) |
Peripheral Procedural Radiological Supervision and Interpretation
| CPT | Description |
|---|---|
| 75960 |
Transcatheter introduction of intravascular stent(s), (except coronary, carotid and vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and interpretation , each vessel |
| 75962 |
Transluminal balloon angioplasty, peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and interpretation |
| +75964 |
Transluminal balloon angioplasty, each additional peripheral artery other than cervical carotid, renal or other visceral artery, iliac or lower extremity, radiological supervision and interpretation (list separately in addition to code for primary procedure) |
| 75966 |
Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and interpretation |
| +75968 |
Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and interpretation (list separately in addition to code for primary procedure) |
| 75978 |
Transluminal balloon angioplasty, venous (e.g., subclavian stenosis), radiological supervision and interpretation |
Peripheral Angioplasty
|
Transluminal balloon angioplasty, percutaneous |
|
|---|---|
| CPT Code | Description |
| 35471 |
Renal or visceral artery |
| 35475 |
Brachiocephalic trunk or branches, each vessel |
| 35476 | venous |
| 37220 | Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty |
| 37222 | Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure) |
| 37224 | Revascularization, endovascular, open or percutaneous, femoral/popliteal artery(s), unilateral; with transluminal angioplasty |
| 37228 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, initial vessel; with transluminal angioplasty |
| 37232 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure) |
Codes 37220, 37222, 37224, 37228, 37232 are new for 2011 and include catheter placement, radiological supervision and interpretation, and closure device placement when performed through the same arterial access site.
Peripheral Stent Placement
| Transvascular Placement of Intravascular Stent(s) | |
|---|---|
| CPT Code | Description |
| 37205 |
Transcatheter placement of an intravascular stent(s) (except coronary, carotid, and vertebral, iliac, and lower extremity arteries), percutaneous; initial vessel |
| +37206 |
Transcatheter placement of an intravascular stent(s) (except coronary, carotid, and vertebral iliac, and lower extremity arteries), percutaneous; each additional vessel. (List separately in addition to code for primary procedure) |
| 37221 |
Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within same vessel, when performed |
| 37223 | Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within same vessel, when performed (List separately in addition to code for primary procedure) |
| 37226 | Revascularization, endovascular, open or percutaneous, femoral/popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed |
| 37230 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed |
| 37234 |
Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure) |
|
Codes 37221, 37223, 37226, 37230, 37234 are new for 2011 and include catheter placement, radiological supervision and interpretation, and closure device placement when performed through the same arterial access site. |
|
| 37215 |
Transcatheter placement of intravascular stent(s) cervical carotid artery, percutaneous; with distal embolic protection |
| 37216 |
Transcatheter placement of intravascular stent(s) cervical carotid artery, percutaneous; without distal embolic protection |
*CAUTION: The RX HERCULINK ELITE™ Renal Stent System is an investigational device. Limited by Federal (U.S.) law to investigational use only.
Arteriovenous (AV) Graft/Shunt Procedures
| CPT | Description |
|---|---|
| 36147 | Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection(s) of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava) |
| 36148 |
Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection(s) of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava); additional access for therapeutic intervention (List separately in addition to code for primary procedure) |
| 75791 |
Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava), radiological supervision and interpretation |
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.gov
ICD-9-CM for Hospitals – Volumes 1,2 & 3; 2011 Professional; 6th edition; edited by Anita C. Hart, RHIA, CCS, CCS-P, Melinda S. Stegman, MBA, CCS, Beth Ford, RHIT, CCS; Ingenix
CPT is a registered trademark of the American Medical Association.
Current Procedure Terminology (CPT®) is copyright 2010. 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®) 2011. Professional Edition. Chicago, IL.
Last Updated: January 2011
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