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Endovascular & PAD Revascularization Scrubber

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.

CPT 37220–37235 Endovascular Revascularization Hierarchy

Endovascular & PAD Revascularization Scrubber

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.

Estimated Allowed Total
$1,516.00
CMS MPFS Facility / OBL Rate
1

Vascular Territory & Bed Definition

CPT guidelines mandate strict single-bed territory coding

Single continuous vascular bed from common femoral bifurcation to tibioperoneal trunk.

2

Primary Vessel Procedure Hierarchy

Only the highest-tier intervention per vessel may be reported

3

NCCI Bundling & Modifiers Scrubber

Audit unbundling collisions before claim submission

Endovascular Scrubber Audit

Bundling Suppressed
Primary Intervention:CPT 37227
Primary Allowed:$1280.00
IVUS Catheter (37252):+$142.00
Diagnostic Angio (75710-59):+$94.00
Total Revascularization Allowed:$1516.00
1 NCCI Edit Conflict(s) Detected
  • Selective Catheter Placement Bundled: CPT 36245–36248 is bundled into lower extremity revascularization codes 37220–37235. Cannot be unbundled with Modifier 59.
ANSI X12 837P Endovascular Lines
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.

Vascular & OBL Practice Audit

Audit 50 Endovascular Claims Free

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.

Confidential HIPAA compliant · Zero obligation · Direct to Kiran

Next Step For Your Practice

Turn these Vascular Endovascular Scrubber insights into recovered cash

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.

Free 50-Claim Audit Pilot

Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.

Instant A/R Gap Analysis

Upload your aging report for instant benchmark comparisons against MGMA standards and recoverable cash projections.

98%+ Clean Claim Rate <24h Submission SLA HIPAA BAA Provided

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