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For 2024, how should the utilization of intravascular lithotripsy outside of the coronary arteries be reported, and what specific coding ranges apply for facility and professional fee coding when it comes to its use in the lower extremities?
Utilization of intravascular lithotripsy outside of the coronary arteries would be reported with the application of the appropriate unlisted procedure code per the body area or system involved, except for utilization in the lower extremities. Facility coding for the use of intravascular lithotripsy in the lower extremities is captured with HCPCS Level II code range C9764–C9767 and C9772–C9776. Currently, professional fee coding should capture the utilization of intravascular lithotripsy in the lower extremities with code range CPT® 37220–37235 and consider IVL a method of angioplasty in that context.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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