This page addresses follow-up questions and additional information pertinent to our webinar
Vascular Interventional Radiology Coding: A Practical Approach Part 1.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: What are Medicare coverage requirements for carotid stenting? Can this procedure be performed in the outpatient setting?
A: Medicare coverage requirements for carotid stenting are outlined in NCD 20.7. This is currently listed as an inpatient only procedure.
Q: If embolic protection is attempted but cannot be done and carotid stenting is performed without it, can a modifier for reduced services be applied to code 37215?
A: No. Report code 37216 for carotid stenting without embolic protection, even if it was attempted.
Q: What code should be used to report stenting of the superficial femoral artery for arterial dissection?
A: Assign code 37236, Open/Percutaneous Placement Intravascular Stent Initial, for stenting of the superficial femoral artery to treat an arterial dissection. Codes 37220-37235 are only used to report treatment of occlusive disease.
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Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS Trainer
Director of Coding Quality & Education
Kristi is the Director of Coding Quality & Education with more than 25 years of industry experience; she is responsible for the development of web-based, instructor-led, and webinar training materials; conducting training in ICD-10-CM/PCS and CPT; and performing DRG and APC audits. Kristi has an extensive background in coding education and consulting and is a national speaker and published writer on topics related to ICD-10 and CPT coding and code-based reimbursement. She has designed and developed training programs for inpatient and outpatient hospital-based coding, with a focus on vascular interventional radiology, interventional cardiology, orthopedics, and obstetrics.
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