Help! Denial of Stent Codes for Treating AV Graft Stenosis.

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Question:

We recently had several denials for placing a stent in an AV graft for graft stenosis. We billed 37205 and the radiology code. Both were denied. Can you help?

Answer:

The stent codes (for stents other than lower extremity, cervical carotid, extracranial vertebral or intrathoracic, intracranial, or coronary) were totally revised effective in January 1, 2014. 37205 and 75960 the associated radiological supervision & interpretation (S & I) codes were deleted and replaced with the following code:

37238 Transcatheter placement of an intravascular stent(s) (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic, intracranial, or coronary),open or percutaneous, including all supervision and interpretation and including all angioplasty within the same vessel, when performed; initial vein.

This is now the correct code to using for stenting an occluded AV graft. As stated in the code, it now includes the radiological S & I.