Medical Billing · Nationwide
Vascular Surgery & Endovascular Interventions Medical Billing Services
Endovascular aneurysm repair (EVAR/TEVAR), lower extremity revascularization (PAD hierarchy), dialysis vascular access creation & salvage, and venous ablation.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to vascular surgeons, endovascular specialists, and outpatient endovascular centers (OBLs) across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical vascular surgery & endovascular interventions CPT range we work: 34701–34716, 37220–37235, 36475, 36478, 36821, 36830, 36901–36909, 36245–36248, 37252.
Why vascular surgery & endovascular interventions billing leaks revenue
Lower extremity revascularization territory unbundling: Commercial payers rejecting angioplasty, atherectomy, and stenting when billed together in the same vascular territory (iliac, fem/pop, or tibial/peroneal)
Selective catheter placement unbundling edits: Denials of CPT 36245–36248 when bundled into lower extremity revascularization codes 37220–37235 under CMS NCCI policy
Dialysis circuit declotting and salvage denials: Erroneous bundling of balloon angioplasty (36902) into thrombectomy (36901) without separate documentation of distinct stenosis lesions
Office-Based Lab (OBL) global facility fee reductions: Drastic downcoding of device-intensive endovascular interventions due to incorrect site-of-service POS 11 vs POS 24 reporting
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Vascular Surgery & Endovascular Interventions billing FAQ
How does the lower extremity revascularization coding hierarchy work (CPT 37220–37235)?
Codes are categorized by vascular territory (iliac, femoral-popliteal, and tibial-peroneal). In each territory, only the most intensive service per vessel is coded (atherectomy + stenting > atherectomy alone > stenting alone > angioplasty alone). Lesser interventions in the same vessel are bundled.
Can diagnostic angiography be billed with an endovascular intervention?
Diagnostic angiography (e.g. 75710) may only be billed with an intervention if there was no prior catheter-based diagnostic study, the study was medically necessary to decide upon intervention, and it is reported with Modifier 59 or XU.