Peripheral Vascular Diagnostic and Intervention Coding Sheet
2022 Peripheral Vascular Diagnostic & Intervention Coding Sheet
Patient: Refer.MD:
Date of Birth: DX:
Date of Procedure:
Reimbursement Information Line Tel: 877.347.9662
CPT? codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply. Fee schedules, relative value units, conversion factors and/or related components aren't assigned by the AMA, aren't part of CPT?, and the AMA isn't recommending their use. The AMA doesn't directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
NON-SELECTIVE CATHETERIZATION
Arterial Vascular Catheterization
Carotid/ Vertebral, direct puncture Retrograde Brachial Extremity Artery, Needle, Unilateral Aortic,Translumbar Aorta, Catheter (Femoral, Brachial, Axillary)
X CODE
36100 36120 36140 36160 36200
SELECTIVE CATHETERIZATION
Arterial Vascular Catheterization
X
1st order selective thoracic or above 2nd order selective thoracic or above 3rd order selective thoracic or above Addnl 2nd or 3rd order thoracic or above 1st order selective abdominal or lower 2nd order selective abdominal or lower 3rd order selective abdominal or lower Addnl 2nd or 3rd order abdominal or lower
DIAGNOSTIC ANGIOGRAMS
Thoracic aortogram Abdominal aortogram Abdominal AO/ run-off Extremity, unilateral Extremity, bilateral Visceral (celiac, SMA, IMA) Pelvic, selective or supraselective Internal mammary Selective, each additional vessel after basic
CODE
36215 36216 36217 +36218 36245 36246 36247 +36248
75605-26 75625-26 75630-26 75710-26 75716-26 75726-26 75736-26 75756-26 +75774-26
DIAGNOSTIC BUNDLED ANGIOGRAMS (Cath placement + vessels imaged)
Selective renal w/ aortogram; unilateral Selective renal w/ aortogram; bilateral Superselective renal w/ aortogram; unilateral Superselective renal w/ aortogram; bilateral
MISCELLANEOUS
Non-selective iliac angio during heart cath Closure device
36251 36252 36253 36254
G0278 G0269
OTHER TRANSCATHETER THERAPIES
PROCEDURE
X
Carotid stenting, cervical carotid, w/ distal protection Carotid stenting, cervical carotid, w/o distal protection Carotid stenting, intrathoracic common carotid or innominate, retrograde open approach Carotid stenting, intrathoracic common carotid or innominate, antegrade approach PTA (outside, leg, heart, brain, dialysis circuit) initial artery PTA (outside leg, heart, brain and dialysis circuit) each additional artery PTA, initial vein PTA, each additional vein IVUS, peripheral, initial vessel IVUS, each additional vessel Peripheral atherectomy, renal artery Peripheral atherectomy, visceral artery Peripheral atherectomy, abdominal aorta Peripheral atherectomy, brachiocephalic trunk or branches, each vessel Primary perc. mechanical thrombectomy, noncoronary, initial vessel Primary perc. mechanical thrombectomy, noncoronary, each addnl vessel within same family Secondary perc. thrombectomy (e.g. snare basket, suction technique), add-on to primary procedure Insertion of IVC filter, includes vessel access, selection and imaging Repositioning of IVC filter, includes vessel access, selection and imaging Retrieval (removal) IVC filter, includes vessel access, selection and imaging Transcatheter retrieval, perc., of intravascular foreign body (fractured venous or arterial cath) Transcatheter therapy, arterial infusion for thrombolysis, other than coronary, initial treatment day Transcatheter therapy, venous infusion for thrombolysis, initial treatment day
- continued on subsequent day during course of thrombolytic therapy - cessation of thrombolysis including removal of catheter and vessel closureby any method
TRANSCATHETER PLACEMENT INTRAVASCULAR STENT
Transcatheter Placement Intravascular Stent(s) (except lower extremityartery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or perc., initial artery
- each additional artery Transcatheter Placement Intravascular Stent(s) open or perc., initial vein
- each additional vein Note: Includes radiological S&I and all angioplasty within the same vessel, when performed.
OCCLUSION AND EMBOLIZATION
Vascular embolization or occlusion, venous, other than hemorrhage Vascular embolizationor occlusion, arterial, other than hemorrhage or tumor
- for tumors, organ ischemia, or infarction - for arterial or venous hemorrhage or lymphatic extravasation Note: Report only 1 embolization code per surgical field. Inclusive of all radiological S&I, intraprocedural road mapping and imaging guidance necessary to complete the procedure.
CODE
37215 37216 37217 37218 37246 +37247 37248 +37249 +37252 +37253 0234T 0235T 0236T 0237T 37184 +37185 +37186 37191 37192 37193 37197 37211 37212 37213 37214
37236
+37237 37238
+37239
37241 37242 37243 37244
2022 HCPCS EXAMPLES
DESCRIPTION X
Catheter, transluminal angioplasty, drug- coated, non-laser
CODE
C2623
Catheter transluminal atherectomy , directional
C1714
ULTRASOUND GUIDANCE
DESCRIPTION X
Ultrasound guidance for vascular access
CODE
+76937
MODERATE SEDATION
DESCRIPTION X CODE
MD performing svc initial 15 min. intra-svc time; < 5 years old
MD performing svc initial 15 min. intra- svc time; >5 years old
+ each additional 15min. intraservice time
MD not performing service initial 15 minutes intraservice time;< 5 years old
99151 99152 +99153 99155
MD not performing service initial 15 minutes intraservice time;> 5 years old
99156
+ each additional 15min. intraservice time
+99157
1 | 2021 Peripheral Coding Sheet US | January 2022 | UC202007847bEN
Note: Medtronic doesn't offer products with approved indications for all procedures listed.
CPT? codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.Fee schedules, relative value units, conversion factors and/or related components aren't assigned by the AMA, aren't part of CPT?, and the AMA isn't recommending their use. The AMA doesn't directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Code descriptions have been abbreviated in this document. For specific AMA descriptions of current CPT? coding, please refer to the most recent version of the CPT? Coding Book. Medtronic does not represent or guarantee that this information is complete, accurate, or applicable to any particular patient or third party payer. Medtronic disclaims all liability for any consequence resulting from reliance on this document. The final decision of billing for any service must be made by the health care provider considering the medical necessity of the service furnished as well as the requirements of third-party payers and any local, state, or federal laws and regulations that apply. Medtronic is providing this information in an educational capacity with the understanding that Medtronic is Medtronic doesn't offer products with approved indications for all procedures listed. For more information, contact the Cardiovascular Health Economics, Policy & Reimbursement Team.
ILIAC
NORMAL CAROTID ANATOMY
+36228 +36227 36226
DIAGNOSTIC BUNDLED CAROTID ANGIOGRAMS (Cath placement + Vessels imaged)
Selective catheterization of each intracranial branch of internal carotid or vertebral, unilat., with selected vessel angiography (use w/ 36224 or 36226) Selective catheterization of external carotid, unilat., with external carotid angiography + (all vessels imaged (use w/ 36222, 36223 or 36224)
Selective catheterization of vertebral, unilat., with vertebral angiography + (all vessels) imaged
36224
Selective catheterization of internal carotid, unilat., with intracranial carotid angiography + (all vessels) imaged
36225 36223 36222 36221
Selective catheterization of subclavian or innominate, unilat., with vertebral angiography + (all vessels imaged)
Selective catheterization of common carotid or innominate, unilat., with intracranial carotid angiography + (all vessels) imaged (including extracranial when performed)
Selective catheterization of common carotid or innominate, unilat., with extracranial carotid angiography + (all vessels)
Non-selective thoracic catheterization with cervicocerebral angiography of all extra- and intracranial vessels imaged, uni- or bilateral (do not report w/36222-36226)
LOWER EXTREMITY ANATOMY
CommonIliac(R)
Com onIliac(L) MiddleSacral
InternalIliac (Hypogastric)
InternalIliac (Hypogastric)
DeepIliac Crcumfexli
External Iliac
DeepIliac Circumfle x
External Iliac
Superficial IliacCircumflex
Medial Femoral Circumfle x
Lateral Femoral Circumfle x
Profunda Femoris
Perforating
Inferior Eplgastri
c
Com on Femoral External Pudendal
MedialFemoral Circumflex Superficial Femoral
Superficial IliacCircumflex Medial Femoral Circumfle x
Lateral Femoral Circumfle x Profunda Femoris
Perforating
SuperiorLateral Genicular
InteriorLateral Genicular Anterior Tibial
SuperiorMedia l Genicular Popliteal
Inferior Medial Genicular
Peroneal
Lateral Anterior Maleolar
Posterior Tibial Medial Anterior Maleolar
SuperiorLateral Genicular
InteriorLateral Genicular
Anterior Tibial
Peroneal Lateral Anterior Maleolar
Dorsalis Pedis
LOWER EXTREMITY INTERVENTIONS
ILIAC TERRITORY
Primary
37220 - iliac, unilateral, transluminal angioplasty (TLA)
Add-on
+37222 - iliac each addtl. Ipsilateral; TLA (use in conjunction with 37220, 37221)
37221 - iliac, unilateral, transluminal stent(s), includes TLA when performed
0238T* - iliac atherectomy (emerging tech code, no RVUs) FEMORAL/ POPLITEAL TERRITORY 37224 - femoral/popliteal, unilateral, transluminal angioplasty (TLA) 37226 - femoral/popliteal, unilateral, transluminal stent(s), includes TLA when performed
37225 - femoral/popliteal, unilateral, atherectomy, includes TLA when performed
37227 - femoral/popliteal, unilateral, atherectomy + stent(s), includes TLA when performed
+37223 ? iliac each addtl. Ipsilateral; stent(s) includes TLA when performed (use in conjunction with 37221)
There are no add-on codes for additional vessels treated because only 1 service is reported when 2 lesions are treated in this territory. Report the most complex service (e.g. use 37227 if a stent is placed for 1 lesion and an atherectomy is performed on 2nd lesion).
TIBIAL/ PERONEAL TERRITORY 37228 ? tib/per, unilateral, transluminal angioplasty (TLA)
+37232 ? tib/per, unilateral, each addl; TLA (use w/ 37228-37231)
37230 ? tib/per, unilateral, transluminal stent(s), includes TLA when performed
37229 - tib/per, unilateral, atherectomy, includes TLA when performed
37231 ? tib/per, unilateral, atherectomy + stent(s), includes TLA when performed
+37234 ? tib/per, unilateral, each addl; stent(s), includes TLA when performed
+37233 ? tib/per, unilateral, each addl; atherectomy, includes TLA when performed
+37235 ? tib/per,unilateral, each addl; atherectomy + stent(s), includes TLA when performed
FEMORAL/ POPLITEAL
TIBIAL/ PERONEAL
2 | UC202007847bEN ?2022 Medtronic. Medtronic, Medtronic logo, and Engineering the extraordinary are trademarks of Medtronic. All other brands are trademarks of a Medtronic company. 01/2022
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