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Radiology Question for the Week of June 15, 2026

Question:

How should iliac artery atherectomy be coded when performed with angioplasty and/or stenting during the same procedure?

Answer:

Atherectomy in the iliac arteries is reported with Category III code 0238T and could be separately assigned in addition to 37254–37262 if angioplasty and/or stenting is performed in addition to atherectomy. While code 0238T does not include vascular catheterization, codes 37254-37262 do. Therefore, if iliac atherectomy is performed in the same leg and through the same access as iliac angioplasty and/or stent placement, do not assign a catheterization code.

This question was answered in our annual Radiology Coding Update webcast. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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