Julie Posted Fri 15th of May, 2020 15:50:35 PM
Our doctor performed mechanical atherectomy with a hybrid device that removes both atheroma and thrombus at the same time. I know we can bill for the atherectomy (37225), but can we also bill for the secondary mechanical thrombectomy (+37186) since the device is all-in-one and performs both procedures simultaneously.
SuperCoder Answered Mon 18th of May, 2020 06:23:04 AM
As per the NCCI edits, thrombectomy of thrombus in the vascular territory of a diseased artery is inherent in the work of an atherectomy procedure. CPT code 37186 (Secondary percutaneous transluminal thrombectomy) shall not be reported for removal of such thrombus. For example, if a physician performs a lower extremity endovascular revascularization atherectomy, removal of any thrombus from the vascular territory of the vessel treated with atherectomy is not separately reportable.
Hope this helps!