37271 prior authorization | Premera Blue Cross of Washington
37271, Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers necessary for accessing and selectively catheterizing the artery and crossing the lesion, including all imaging guidance and radiological supervision and interpretation necessary to perform the atherectomy and angioplasty, when performed, within the same artery, unilateral; straightforward lesion, initial vessel, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 37271
- Description
- Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers necessary for accessing and selectively catheterizing the artery and crossing the lesion, including all imaging guidance and radiological supervision and interpretation necessary to perform the atherectomy and angioplasty, when performed, within the same artery, unilateral; straightforward lesion, initial vessel
- Source
- Clinical Review by Code List PBCWA, Pg 317 Original policy