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TPT Billing

Wanetta Posted Fri 30th of November, 2018 12:04:51 PM
If patient has PTA of the posterior but PTA and atherectomy of the TPT was done, which one do will bill? Since we are suppose to bill the highest level. Also if we are performing TPT and AT can you bill both?
SuperCoder Answered Mon 03rd of December, 2018 03:34:09 AM

Hello Wanetta,

Thank you for your question.


For this service, you should report a single unit of 37229 (Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed).

Although CPT® specifies 37229 is for the “initial vessel” only, the tibioperoneal trunk does not count as a separate vessel. Therefore, you include treatment of lesions in the trunk in the code for treatment of lesions in the posterior tibial artery. CPT® specifically states this rule in the guidelines for the codes.


Note: The common tibio-peroneal trunk is considered part of the tibial/peroneal territory, but is not considered a separate, fourth segment of vessel in the tibio-peroneal family for CPT reporting of endovascular lower extremity interventions. For instance, if lesions in the common tibio-peroneal trunk are treated in conjunction with lesions in the posterior tibial artery, a single code would be reported for treatment of this segment.


Hope this helps!


 Please feel free to write if you have any question.


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