What CPT codes would you use for bilateral straightforward angioplasty of the external iliac arteries using one access site? Can you use 37254-50 or would it be 37254 for the initial vessel on the contralateral side and 37255 for the vessel on the ipsilateral side?

What should be documented when reporting an E/M service based on time in the office?

Hi, I have a spine surgeon and vascular surgeon working together on an ALIF procedure, 2 level, which I have billed 22558/22585. The vascular surgeon is also repairing the sympathetic nerve, which i don't see a code for. He has input 64722 but I'm not quite sure that would be the correct code. Also, would that not be part of the ALIF procedure? He is also starting to bill and code the repair of the middle sacral vein, sacral artery, and iliolumbar vein. I looked at those codes at 35221, now I put those through the NCCI edits, and it seems that it can be billed. However, I read through another coding forum that a provider cant bill those codes, as that is part of the ALIF procedure. I need clarification on whether repairing artery or veins are part of the ALIF procedure.

My hospital wants to pursue elective TAVR via carotid approach. Normally via percutaneous femoral approach, the Interventional Cardiologist and Cardiac Surgeon bill for the case. If they request me for open carotid artery exposure (as Vascular Surgeon), is there a way for me to bill as a third provider?

What would be the appropriate ICD if the patient comes for renal artery bleeding and the physician studies renal angiogram and found no active extravasation, R58 is not payable diagnosis as per LCD policy for CPT 36253. Denials found higher for this scenario.

What would be the appropriate ICD if the patient comes for renal artery bleeding and the physician studies renal angiogram and found no active extravasation, R58 is not payable diagnosis as per LCD policy for CPT 36253. Denials found higher for this scenario.