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Internal Carotid Artery Angioplasty

Mary ann Posted Thu 08th of August, 2013 17:45:24 PM

Can you tell me what code you would use for an extracranial angioplasty of internal carotid artery. No stent was placed and this is a Medicare patient. I didn't know if I should use 37799 and how do you feel about using GZ modifier since it is a non-covered procedure.

Thanks

SuperCoder Answered Fri 09th of August, 2013 03:24:58 AM

From a coding perspective, many experts advise that carotid angioplasty should reflect that it is angioplasty of a brachiocephalic branch (e.g., 35475, 75962-26). But this Dr. Z presentation for AAPC indicates CMS says 75962 is inappropriate because the carotid artery is not a peripheral artery. The advice given is to check with your payer and consider 37799-GY. (Page 21, http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/8521a02e-1058-40d3-ae7f-f8dfcad0b899/9141383f-9e3a-442f-8824-9aa0f5d0c67f.pdf)

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