How To Use CPT Code 37230

CPT 37230 describes the procedure for revascularization of the tibial or peroneal artery using an endovascular, open, or percutaneous approach. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 37230?

CPT 37230 is used to describe the procedure performed by a healthcare provider to restore blood supply in a stenosed tibial or peroneal artery. This can be done through an endovascular, open, or percutaneous approach. The procedure involves the placement of a transluminal stent at the site of the occlusion, which is then expanded against the narrow portion of the vessel wall. This code also includes the angioplasty procedure if performed within the same vessel.

2. Official Description

The official description of CPT code 37230 is: ‘Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed.’

3. Procedure

1. The healthcare provider accesses the lumen of the diseased tibial or peroneal artery through an endovascular, open, or percutaneous approach.
2. A specially designed catheter stent system is passed through a guidewire into the artery.
3. The provider places the stent at the site of the occlusion and expands it against the vessel wall to open and recanalize the artery.
4. The position of the stent is confirmed using an angioscope.
5. The catheter system is then withdrawn through the access site, and bleeding is stopped by applying a compression bandage or suturing the incision, depending on the approach used.

4. Qualifying circumstances

CPT 37230 is performed on patients with a stenosed tibial or peroneal artery that requires revascularization. The procedure can be done using an endovascular, open, or percutaneous approach. The patient must have an initial vessel that needs to be treated. This code includes the placement of a transluminal stent and angioplasty within the same vessel if performed.

5. When to use CPT code 37230

CPT code 37230 should be used when a healthcare provider performs the revascularization procedure on the initial tibial or peroneal artery using an endovascular, open, or percutaneous approach. This code includes the placement of a transluminal stent and angioplasty within the same vessel if performed. It should not be reported if the procedure is performed on additional vessels or if a different procedure, such as atherectomy, is performed.

6. Documentation requirements

To support a claim for CPT 37230, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for revascularization
• Specific approach used (endovascular, open, or percutaneous)
• Date and details of the procedure, including the placement of the transluminal stent and angioplasty if performed
• Confirmation of stent position using an angioscope
• Method used to stop bleeding (compression bandage or suturing)
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 37230, ensure that the procedure is performed on the initial tibial or peroneal artery using the specified approach (endovascular, open, or percutaneous). This code includes the placement of a transluminal stent and angioplasty within the same vessel if performed. It should not be reported with additional codes for revascularization of other vessels or different procedures such as atherectomy. Make sure to follow any additional guidelines provided by the payer.

8. Historical information

CPT 37230 was added to the Current Procedural Terminology system on January 1, 2011. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performs revascularization of the tibial artery using an endovascular approach with transluminal stent placement and angioplasty within the same vessel.
2. Using an open approach, a provider restores blood supply in the peroneal artery by placing a transluminal stent and performing angioplasty within the same vessel.
3. A healthcare provider performs revascularization of the tibial artery using a percutaneous approach with transluminal stent placement and angioplasty within the same vessel.
4. Using an endovascular approach, a provider restores blood supply in the peroneal artery by placing a transluminal stent and performing angioplasty within the same vessel.
5. A healthcare provider performs revascularization of the tibial artery using an open approach with transluminal stent placement and angioplasty within the same vessel.
6. Using a percutaneous approach, a provider restores blood supply in the peroneal artery by placing a transluminal stent and performing angioplasty within the same vessel.