Revenue increase from component coding
Clean claim submission rate
Average days in A/R
Endovascular component capture rate
Vascular surgery billing involves some of the most complex coding in surgical medicine, with procedures spanning open bypass grafts (35501-35671), endovascular catheter-based interventions (36245-36248 for selective catheterization, 37220-37235 for lower extremity revascularization), and dialysis access creation and maintenance (36818-36833 for AV fistula/graft, 36901-36909 for dialysis circuit interventions). The layered coding structure for endovascular procedures, where catheter placement, angiography, and intervention each have separate billable components, creates significant revenue opportunity when coded correctly and significant loss when components are missed.
Our billing team specializes in the vascular surgery coding framework. We handle the catheter hierarchy rules that determine which selective catheterization codes are billable in multi-vessel cases, the supervision and interpretation (S&I) components for angiographic imaging (75710, 75716, 75625-75630), and the stacking rules for endovascular interventions across different vascular territories. For open surgical cases, we manage the assistant surgeon billing (modifier 80/82), vein harvesting codes (35572, 35500), and the distinction between primary and redo bypass procedures that affects code selection. Practices working with us consistently capture 15-20% more revenue per case through complete component coding.
Every Vascular Surgery billing team deals with payer delays, coding nuance, and collection leakage. We tighten those weak points before they turn into write-offs.
Endovascular procedures require separate billing for catheter placement (36245-36248), diagnostic angiography (75710-75716), and each intervention (37220-37235). Missing any component on a multi-vessel case can leave 30-40% of the procedure's value unbilled.
Selective catheterization follows strict hierarchy rules where only the most distal catheter position is billable per vessel family. Coding non-selective (36200) plus selective placements requires understanding which combinations are allowed and which are bundled.
AV fistula creation (36818-36833) and dialysis circuit maintenance (36901-36909) have distinct coding pathways. The 2017 code restructuring for dialysis access interventions created new bundling rules that many practices still struggle to apply correctly.
Vascular surgeons who perform and interpret their own imaging must bill S&I codes (75710, 75716, 75625-75630) with modifier 26 for the professional component. Failing to capture imaging interpretation fees on procedures the surgeon performed and read leaves significant revenue uncollected.
Support spans the full revenue cycle, from front-end verification to denial recovery and reporting.
Endovascular intervention component coding
Open bypass and vascular reconstruction billing
Dialysis access creation and maintenance coding
Angiographic S&I billing and modifier management
Catheter hierarchy and selective placement coding
Wound care and limb salvage procedure billing
We support independent practices, multisite groups, and growing provider organizations with flexible workflows.
Independent physician groups
Multi-location practices
Private equity backed platforms
Hospital-owned outpatient groups
Vascular surgery billing involves some of the most complex coding in surgical medicine, with procedures spanning open bypass grafts (35501-35671), endovascular catheter-based interventions (36245-36248 for selective catheterization, 37220-37235 for lower extremity revascularization), and dialysis access creation and maintenance (36818-36833 for AV fistula/graft, 36901-36909 for dialysis circuit interventions). The layered coding structure for endovascular procedures, where catheter placement, angiography, and intervention each have separate billable components, creates significant revenue opportunity when coded correctly and significant loss when components are missed.
Our billing team specializes in the vascular surgery coding framework. We handle the catheter hierarchy rules that determine which selective catheterization codes are billable in multi-vessel cases, the supervision and interpretation (S&I) components for angiographic imaging (75710, 75716, 75625-75630), and the stacking rules for endovascular interventions across different vascular territories. For open surgical cases, we manage the assistant surgeon billing (modifier 80/82), vein harvesting codes (35572, 35500), and the distinction between primary and redo bypass procedures that affects code selection. Practices working with us consistently capture 15-20% more revenue per case through complete component coding.
Answers to the questions practice owners and managers ask most often before switching billing partners.
We code every billable component: selective catheterization to each vessel treated, diagnostic angiography of the target territory, and each intervention (angioplasty 37220-37235, stenting, atherectomy) performed in distinct vascular segments. For multi-vessel cases, this component-based approach captures 30-40% more revenue than simplified single-code billing.
We use the current dialysis access coding structure (36901-36909) for maintenance procedures, billing the base code for the access circuit plus add-on codes for each additional intervention. For new AV fistula (36818-36821) and graft (36825-36833) creation, we ensure the approach, vessel selection, and any revision components are fully coded.
Yes. When the vascular surgeon performs and interprets diagnostic angiography, we bill the appropriate S&I codes (75710, 75716, 75625-75630) with modifier 26. We ensure the radiology report is documented separately from the operative note and meets the interpretation documentation requirements that payers audit.
We code carotid endarterectomy (35301) and carotid stenting (37215-37217) with the associated catheterization and angiography components. For carotid stenting with distal protection device deployment, we capture the device codes and ensure prior authorization was obtained for this intervention.
We code lower extremity interventions by vascular territory (37220-37235 covering femoral-popliteal and tibial-peroneal segments), stacking codes for interventions in multiple territories during the same session, and applying the correct initial versus additional territory designations that determine reimbursement.
Our vascular surgery clients see 20-30% revenue increases, driven primarily by capturing previously missed endovascular components, S&I interpretation fees, and dialysis access maintenance charges. Clean claim rates improve to 95% and average days in A/R decrease to 24 days.
The difference is operational discipline. We focus on clean submissions, fast follow-up, and transparency.
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