Lower extremity revascularization

Question:

When coding lower extremity re-vascularization procedures, can the tibial-peroneal trunk, posterior tibial and anterior tibial arteries all be coded separately? 

Answer:

The tibial peroneal trunk (TPT) splits into the peroneal and posterior tibial (PT) arteries. The anterior tibial artery branches off the popliteal artery above the tibial peroneal trunk.  Therefore, when coding, the anterior tibial artery is considered separate from the TPT; however, the PT is considered a continuation of the TPT and not a separately coded vessel. So, if the anterior tibial, the posterior tibial, and the peroneal arteries are all treated, for example, with atherectomy, each may be separately reported.

*This response is based on the best information available as of 9/9/24.