Coding for REBOA

Coding for REBOA

September 5, 2019

Question:
What is REBOA and how is it coded?

Answer:
REBOA is used in trauma for patients that are rapidly bleeding from injuries to the chest, abdomen or pelvis. A flexible catheter is placed in the femoral artery, advanced to the aorta and a balloon is inflated at its tip. This stops blood flow beyond the balloon, essentially halting any bleeding, while also stopping all blood flow distal to the balloon. This is a very temporary maneuver and is merely a bridge to get the severely injured patient to the Operating Room or Angiographic Suite. This is reported with code 37244 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation.

*This response is based on the best information available as of 09/05/19.

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