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IVUS 37253 each additional vessel

Super Posted Thu 28th of April, 2016 16:41:27 PM
If the pt has compression (May-Turner Sybdrome) extending through multiple vessels, not a leision (DVT or chronic occlusion) is the 37253 coded per vessel or also with single code? 37253 Jan 2016 Per vessel’ exception: “If a lesion extends across the margins of one vessel into another, this should be reported with a single code despite imaging more than one vessel,” the CPT® guidelines state. Krol offered the example of thrombus that starts at the popliteal and runs up to the vena cava. You report the IVUS using just a single code in that case.
SuperCoder Answered Fri 29th of April, 2016 01:29:16 AM
Code 37252 is reported once per procedure for the first vessel studied with IVUS. Code 37253 may be reported for each additional vessel studied during the procedure and may be reported more than once if multiple additional vessels are studied. Each code is reported only once for all IVUS performed in that vessel during the entire procedure.

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