Iliac Atherectomy

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November 29, 2012

Question:

If a common iliac atherectomy is performed and a stent is placed in the same vessel can both be billed? What about the catheterization and radiological supervision and interpretation?

Answer:

As of 2011, supra-inguinal atherectomies (which include all iliac vessels) are reported with Category III codes. These codes specifically state that other interventions in the same vessel may be separately reported. So in your scenario, 0238T would be reported for the iliac atherectomy in addition to 37721 for the iliac stent. The stent includes catheterization and radiological supervision and interpretation so neither can be reported in addition to the interventions.