May 2016 Q & A

Question: Angioplasty of the iliac with the sheath?

Can we bill 37220 for an angioplasty of the iliac artery with the sheath? I don't think so, but I just wanted to double check because the CPT description does not use the word "balloon".

This is “Dotter” technique, and you are correct, if no balloon, no angioplasty. You could consider 37799 if a hemodynamically significant stenosis is treated with this technique. If it is only used to gain access to another vessel for a different intervention, I would not submit a code at all for this portion of a procedure.