April 2016 Q & A

Question: Popliteal Aneurysm

We are looking for a code for popliteal aneurysm (37236?). This is what one of our physicians said: "34900 code is an aneurysm procedure code, and although specifies iliac it is far more reflective of the procedure type and work, including large sheath placement that is involved with popliteal aneurysm repair. In fact the 2 procedures are almost identical except one is done at a more distal location." What code do you suggest we use for popliteal aneurysm and why?

 

Answer:
CPT code 34900 is specific for stent graft placement to treat an iliac aneurysm (pseudoaneurysm, AVM, AV-fistula, dissection; but not stenosis). The popliteal artery is not the iliac artery, just like the iliac artery is not the abdominal aorta. The correct code for placement of a stent graft to treat a popliteal (or other non-iliac, non-aortic aneurysm) is 37236. The corresponding catheter placement is reported separately.