Failed Angioplasty and Stent Followed by a Bypass. Can Both Be Billed?

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Question:

After several attempts to do an angioplasty and stent, I had to perform a fem-pop bypass. Can both services be reported?

Answer:

No, in this scenario, only the successful procedure may be reported; the fem-pop bypass. A 22 modifier should be appended to the bypass to reflect the additional work of the failed PTA/stent. Make sure you document the complexity of the procedure as well as the additional time spent attempting the PTA/stent.


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