Resolved C7535 or 37227 when stenting, angioplasty and atherectomy are performed

[EmilyM_67452]

Hi, I had a question come up and I am hoping someone can help to confirm this coding scenario. With the 2023 update the new code C7535 utilized for the Revascularizations of femoral, popliteal artery with stenting and angioplasty in addition to the IVUS component now included into the description. My question on this is; if there is a stenting, angioplasty and atherectomy in the same vessel, there was not a new code combination added for this scenario, so if these were all performed in the same session, would this be coded as CPT 37227 with the IVUS coded separately, or C7535 and C7534 for both stent and atherectomy components with the angioplasty and IVUS included? If someone is able to confirm or let me know your thoughts for the correct coding of this scenario it would be appreciated. Thanks!!

 

[Alicia]

I am doing some research for you and checking with Stacey Levitt who is an expert. Hope to get back with you soon.

 

[EmilyM_67452]

Thank you so much! It is greatly appreciated!

 

[Alicia]

The new C codes are only for ASC use. When they first went into effect there wasn't any guidance on how to apply them. Were you able to check AHA Coding Clinic for HCPCS to see if they have published any advice on these. I thought I had AHA Coding Clinic but I do not.

The best information I could find so far is from here:

Higher Payments for New C-Codes for ASC in 2023 - StreamlineMD

Higher Payments for New C-Codes for ASC in 2023 - C7500-C7555 for Interventional Radiology & Cardiac Catheterization

streamlinemd.com

 

[EmilyM_67452]

The new C codes are only for ASC use. When they first went into effect there wasn't any guidance on how to apply them. Were you able to check AHA Coding Clinic for HCPCS to see if they have published any advice on these. I thought I had AHA Coding Clinic but I do not.

The best information I could find so far is from here:

Higher Payments for New C-Codes for ASC in 2023 - StreamlineMD

Higher Payments for New C-Codes for ASC in 2023 - C7500-C7555 for Interventional Radiology & Cardiac Catheterization

streamlinemd.com

Ok, thank you very much for checking into this and also providing a reference! I do have access to AHA Coding Clinic but they do not have anything on this topic unfortunately, I also checked in the Dr. Z Q&A but there is nothing there either. I think we will just need to wait and see what guidance they provide in the future. I appreciate your time and assistance!

 

[Alicia]

You are right. It has to be happening so I suspect we are going to get a Coding Clinic on it. Maybe you should ask them and we might see it in next months... <grin>

 

[Alicia]

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