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Radiology Coding Alert

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Find Codes for Initial and Repeat PTA

Question: The physician performed PTA of a right anterior tibial lesion, PTA of the popliteal artery, and infusion catheter placement in the right anterior tibial artery due to thrombus at the end of the procedure. After 6 hours of Activase infusion (same date), the physician performed a repeat angiogram by placing the catheter in right SFA and then performed repeat PTA of the anterior tibial. The indications for the repeat procedure state, "Thromboembolic phenomenon in the infrapopliteal arteries to PTA of the right popliteal lesion, as well as the totally occluded anterior tibial artery." Which CPT® codes should I report for both services (date of service is 2012)? Member Answer: For the first session, consider the following codes, depending on documentation: Percutaneous transluminal angioplasty (PTA) of right anterior tibial: 37228 (Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty) PTA of the popliteal: 37224 [...]

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