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Peripheral Intervention Codes

 

 

Questions about coding for Abbott Vascular Products?

Contact the Reimbursement Hotline: 800 354 9997 Questions@AskAbbottVascular.com.

 

 

Welcome to your resource for information about coding, coverage and reimbursement for peripheral interventions. Providers should consult with their payers regarding appropriate documentation, medical necessity and coding information consistent with individual payer requirements and policies.

 

ICD-9 Procedure Codes

ICD-9 Procedure Codes
39.50

Angioplasty or atherectomy of other non-coronary vessel(s)

39.90*

Insertion of non-drug eluting peripheral (non-coronary) vessel stent(s)

 

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.

ICD-9 Procedure Codes
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

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

 

CPT® Procedure Codes

Catheter Placement

CPT® Codes 
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)

36251

Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral

36252

Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral

36253

Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral

36254

Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral

 

Peripheral Angiography with Radiological Supervision and Interpretation

CPT® Codes
75625-26

Aortography, abdominal, by serialography, radiological supervision and interpretation

75630-26

Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation

75710-26

Angiography, extremity, unilateral, radiological supervision and interpretation

75716-26

Angiography, extremity, bilateral, radiological supervision and interpretation

75726-26

Angiography, visceral, selective or supraselective, (with or without flush aortogram), radiological supervision and interpretation

75736-26

Angiography, pelvic, selective or supraselective, radiological supervision and interpretation

+75774-26

Angiography, selective, each additional vessel studied after basic exam, radiological supervision and interpretation (list separately in addition to code for primary procedure)

 

Upper Extremity Cervicocerebral Catheter Placement with Angiography

CPT® Codes
36221

Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

36222

Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

36223

Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed

36224

Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed

36225

Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

36226

Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

36227

Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)

36228

Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery) (List separately in addition to code for primary procedure)

 Note: Codes 36221-36228 are new for 2013

 

Peripheral Procedural Radiological Supervision and Interpretation

CPT® Codes
75960-26

Transcatheter introduction of intravascular stent(s), (except coronary, carotid, vertebral, iliac, and lower extremity artery), percutaneous and/or open, radiological supervision and interpretation , each vessel

75962-26

Transluminal balloon angioplasty, peripheral artery other than renal, or other visceral artery, iliac or lower extremity, radiological supervision and interpretation

+75964-26

Transluminal balloon angioplasty, each additional peripheral artery other than renal, or other visceral artery, iliac or lower extremity, radiological supervision and interpretation (List separately in addition to code for primary procedure)

75966-26

Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and interpretation

+75968-26

Transluminal balloon angioplasty, each additional visceral artery, radiological supervision and interpretation (list separately in addition to code for primary procedure)

75978-26

Transluminal balloon angioplasty, venous (e.g., subclavian stenosis), radiological supervision and interpretation

 

Peripheral Angioplasty

CPT® Codes
35471

Transluminal balloon angioplasty, percutaneous; Renal or visceral artery

35475

Transluminal balloon angioplasty, percutaneous; Brachiocephalic trunk or branches, each vessel

35476 Transluminal balloon angioplasty, percutaneous; 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)

 

Peripheral Stent Placement

CPT® Codes
37205

Transcatheter placement of an intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity arteries), percutaneous; initial vessel

+37206

Transcatheter placement of an intravascular stent(s) (except coronary, carotid, 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)

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.

 

Arteriovenous (AV) Graft/Shunt Procedures

CPT® Codes
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); additional access for therapeutic intervention (List separately in addition to code for primary procedure)

75791-26

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; 2012 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 2011. 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®) 2012. Professional Edition. Chicago, IL.

Last Updated: December 2012

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.

Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)

 

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