Laser Atherectomy for Subclavian (OLD Code 35475)


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by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

Question: 
Provider performed laser atherectomy of the subclavian artery. CPT code 35475, which would describe this procedure, has been deleted. The claim has been denied and we’re trying to appeal with a comparable code for the procedure. Can you please assist with identifying a comparable code?

Answer:
CPT Category III code 0237T describes atherectomy in the brachiocephalic vessels, which would include the subclavian artery. Be sure the device you are using is FDA approved for the vessel treated. The catheter placement and angioplasty (if done) are additionally reported with atherectomy code 0237T.

 

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About the Author

David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC
David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.

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