Can we charge for two kissing balloons when one is for a lesion and one is for protection of a stent but no lesion? The internal iliac had a lesion, and the external iliac had a stent that needed protection. Would the codes be 37220 and 37222?
There does not appear to be any official guidance to support the reporting of a second angioplasty when it is done for protection. We understand why it is done but must question the medical need to report the second angioplasty. Although codes 37220 and 37222 would be the correct choices, the question is really whether it is appropriate to report both since the external iliac had no lesion.