2017 Coding Changes: Endovascular Revascularization

37246 – Transluminal balloon angioplasty (except lower extremity artery[ies] for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery

+37247 – each additional artery (List separately in addition to code for primary procedure)

37248 – Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein

+37249 – each additional vein (List separately in addition to code for primary procedure)

Report a single code for each vessel treated. Report only one intervention if a lesion extends across the margins of one vessel into another, but can be treated with a single therapy. Report only the stent code in a single vessel if both angioplasty and stenting are used, even if the lesions are separate.

Report separately:

  • Catheterization
  • Diagnostic angiography
  • Ultrasound guidance for access
  • IVUS
  • Thrombolysis and/or mechanical thrombectomy
  • Extensive repair or replacement of an artery

These codes are not used when there are specific codes for angioplasty on that location (e.g., lower extremity arteries).

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