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CPT® 2017 At-A-Glance: Transluminal Balloon Angioplasty

Need to get up to speed on 2017’s angioplasty code updates? We’ve got a handy tool for learning deleted codes, new codes, and important tips to apply the codes correctly.

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CPT® 2017 At-A-Glance: Transluminal Balloon Angioplasty

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  1. CPT® 2017 At-A-Glance: Transluminal Balloon Angioplasty

  2. Out With the Old: CPT® 2017 Deletes These Codes … DELETING... Percutaneous Transluminal balloon angioplasty Open 35450 Renal or other visceral artery 35471 35452 Aortic 35472 35458 Brachiocephalic trunk or branches, each vessel 35475 35460 Venous 35476 Don’t forget about the deletion of the associated supervision and interpretation (S&I) codes, too: • 75962-+75964 for peripheral artery angioplasty S&I • 75966-75968 for renal or other visceral artery angioplasty S&I • 75978 for venous angioplasty S&I.

  3. In With the New: CPT® 2017 Adds These Codes ARTERIES • Initial: 37246, Transluminal balloon angioplasty (except lower extremity artery[ies] for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery • Additional: +37247, … each additional artery (List separately in addition to code for primary procedure)

  4. In With the New: CPT® 2017 Adds These Codes VEINS • Initial: 37248, Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein • Additional: +37249, … each additional vein (List separately in addition to code for primary procedure)

  5. Not Sure Which Vessels These Codes Apply To? ARTERIES DO NOT use artery codes 37246 and +37247 for these angioplasty services: • Lower extremity artery for occlusive disease • Intracranial • Coronary • Pulmonary • Dialysis circuit VEINS DO NOT use vein codes 37248 and +37249 for these angioplasty services: • Dialysis circuit

  6. Not Sure Which Vessels These Codes Apply To? VEINS DO use vein codes 37248 and +37249 for these angioplasty services (based on the AMA CPT® Index’s “Angioplasty” entry): • Venous • Visceral • Renal • Tibial/Peroneal, Balloon VEINS ARTERIES DO use artery codes 37246 and +37247 for these angioplasty services (based on the AMA CPT® Index’s “Angioplasty” entry): ! • Aorta • Axillary • Brachiocephalic • Renal • Subclavian • Visceral CAUTION The Index also lists the codes under “Angioplasty Tibial/Peroneal, Balloon,” but watch for when occlusive disease treatment codes from 3722x are more appropriate.

  7. Jam-Packed Calendar? Let SuperCoder Be Your Update Team • Take the stress out of preparing for upcoming changes and have time to celebrate the New Year! Choose Cardiology Coder, an all-in-one online solution, and you can access everything you need from a code’s details page: • Always up-to-date code sets — CPT®, HCPCS, ICD-10-CM, and ICD-9-CM • Unparalleled collection of coding tools: • CCI Edits Checker • 7-in-1 Fee Schedule • LCD & NCD Lookup • Scrubber for CMS-1500 • CPT® to ICD-10-CM Crosswalk • CPT® to HCPCS Crosswalk • ICD-10-CM Bridges • NDC to HCPCS Crosswalk • Practical, expert guidance in monthly Cardiology Coding Alert newsletter with searchable archives.

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