Bilateral Stent Placement: How is it Coded?

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Question:

Under the new lower extremity revascularization guidelines, if I place stents in the left and right external iliac arteries is this reported as a primary and add-on code?

Answer:

Under the new lower extremity revascularization guidelines, bilateral stents in the left and right external iliac arteries would be reported as two primary codes, 37221 and 37221-59. Depending on payor preferences, right and left indicators ( RT and LT) may also be used.

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