Question:

A patient presents for percutaneous transfemoral TAVR. Upon completion of TAVR, a dissection is noted in the common femoral access vessel. This is treated with angioplasty and stent. Is it appropriate to code CPT® 37221 for the femoral artery angioplasty and stenting in addition to the TAVR, CPT 33361?

Answer:

The treatment of the femoral artery dissection is considered an included component of the ultimate successful performance of the TAVR procedure and would not be reported separately with 37221.

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