Cardiology Question for the Week of April 3, 2023

Question:

When do we report 0505T?

Answer:

This Category III code is reported for endovenous revascularization of the superficial femoral artery (SFA) and/or the popliteal artery by using a crossing device to go out of the artery above a blockage into the adjacent vein, then cross back from the vein to the artery below the blockage. Stent grafts are placed through the tract to bypass a heavily calcified occlusion. The code includes access and antegrade catheterization of the ipsilateral lower extremity artery, as well as a separate access and antegrade catheterization of a lower extremity vein. It also includes angioplasty of arteries and or veins, additional stenting or atherectomy, ultrasound guidance for vascular access, diagnostic arteriography and venography of the treated leg, all imaging guidance for the procedure, and vessel closures. Do not report 37224–37227, 37238, 37239, 37248, 37249, or 76937 for the same arteries and veins.

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