Coding IVUS (noncoronary vessel): Vessel vs system?

May 18, 2017

Question:

"The IVUS catheter was advanced. It was initially placed through the right groin and advanced towards the IVC at the level of the renal veins. IVUS of the IVC, common and external iliac veins and common femoral vein was performed which demonstrated patent IVC, right common iliac, external iliac and common femoral veins. There was no evidence of a significant compression or stenosis. IVUS catheter was advanced then from the left groin up to the IVC at the level of the renal levels and images were obtained of the IVC, left common iliac, left external iliac and left common femoral veins. There was no evidence of a significant compression of stenosis." The CPT description of the 37252 states "vessel", so can we code for each “vessel”? IVC, RT common iliac, external iliac, common femoral, LT common iliac, external iliac, common femoral vein (7 CPT IVUS codes – 37252, 37253-LT x3 and 37253-RT x 3) Or, Code for the main vessel or system only? IVC and RT and LT iliac systems (3 CPT IVUS codes – 37252, 37253-LT and 37253-RT)

Question ID: 8925
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