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

Out With the Old: CPT® 2017 Deletes These Codes …

DELETING...

Transluminal balloon angioplasty

Renal or other visceral artery

AorticBrachiocephalic trunk or branches, each vessel

Venous

3545035452

35458

Open

35460

Percutaneous

3547135472

3547535476

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.

In With the New: CPT® 2017 Adds These Codes

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)

ARTERIES

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)

Not Sure Which Vessels These Codes Apply To?

ARTERIES

VEINS

DO NOT use artery codes 37246 and +37247 for these angioplasty services:

• Lower extremity artery for occlusive disease• Intracranial• Coronary

• Pulmonary• Dialysis circuit

DO NOT use vein codes 37248 and +37249 for these angioplasty services:

• Dialysis circuit

Not Sure Which Vessels These Codes Apply To?

VEINS

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

DO use vein codes 37248 and +37249 for these angioplasty services (based on the AMA CPT® Index’s “Angioplasty” entry):

• Renal• Tibial/Peroneal, Balloon

• Venous• Visceral

CAUTIONThe Index also lists the codes under “Angioplasty Tibial/Peroneal, Balloon,” but watch for when occlusive disease treatment codes from 3722x are more appropriate.

!

ARTERIES

VEINS

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.