Question:
A patient presents for percutaneous transfemoral TAVR. Upon completion of TAVR, a dissection is noted in the common femoral access vessel. This is treated with angioplasty and stent. Is it appropriate to code CPT® 37221 for the femoral artery angioplasty and stenting in addition to the TAVR, CPT 33361?
Answer:
The treatment of the femoral artery dissection is considered an included component of the ultimate successful performance of the TAVR procedure and would not be reported separately with 37221.