Lower extremity revascularization coding (CPT 37220–37235) follows rigid vascular territory rules where angioplasty, atherectomy, and stenting are subject to strict intra-vessel hierarchies. Selective catheter placement (36245–36248) is statutorily bundled, and diagnostic angiography (75710) requires specific medical necessity exemptions. Scrub your endovascular and office-based lab (OBL) claims before submission.
Enforce CPT vascular territory hierarchy (iliac, femoral-popliteal, tibial-peroneal), suppress bundled angioplasties and selective catheter placements (36245–36248), and audit diagnostic angiography (75710) Modifier 59 exemptions.
CPT guidelines mandate strict single-bed territory coding
Single continuous vascular bed from common femoral bifurcation to tibioperoneal trunk.
Only the highest-tier intervention per vessel may be reported
Audit unbundling collisions before claim submission
ISA*00* *00* *ZZ*VASCULARPRACTICE*ZZ*PAYERROUTING *260908*1145*^*00501*000000001*0*P*:~ GS*HC*SENDER*RECEIVER*20260908*1145*1*X*005010X222A1~ ST*837*0001*005010X222A1~ BHT*0019*00*PAD-20260908-001*20260908*1145*CH~ NM1*85*2*VASCULAR & ENDOVASCULAR SURGEONS*****XX*1948372615~ NM1*IL*1*MILLER*GEORGE****MI*MED883746251~ CLM*PAD-20260908*3183.60***11:B:1*Y*A*Y*Y~ HI*ABK:I70.213*ABF:I70.223~ LX*1~ SV1*HC:37227*2688.00*UN*1***1~ DTP*472*D8*20260908~ LX*2~ SV1*HC:37252*298.20*UN*1***1~ DTP*472*D8*20260908~ LX*3~ SV1*HC:75710:59*197.40*UN*1***1~ DTP*472*D8*20260908~ SE*18*0001~ GE*1*1~ IEA*1*000000001~
EDI 837P professional claim lines with compliant primary and add-on vessel hierarchy.
Our certified vascular surgical coders will audit up to 50 recent PAD revascularization, EVAR, or dialysis access salvage claims to eliminate unbundling write-offs and recover underpayments.
Losing revenue on peripheral vascular unbundling denials, missed IVUS add-ons, or contested office-based lab (OBL) facility fees? Aethera provides certified vascular coding specialists who protect revenue across cath labs, ASCs, and outpatient vascular centers. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free, with guaranteed under-48-hour findings.
Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.
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