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The transcatheter placement of extracranial vertebral artery stent(s) is a specialized, minimally invasive procedure aimed at treating conditions affecting the vertebral artery, which may include atherosclerotic stenosis, dissection, or aneurysm. The vertebral artery is a critical vessel that branches from the subclavian artery and is divided into four segments, designated as V1 through V4. The first three segments, V1 to V3, are located extracranially in the cervical region, while V4 transitions into the intracranial space at the dura mater. Among these segments, V1 is frequently the site of atherosclerotic disease, whereas V3 is often associated with dissections. During the procedure, local anesthesia is typically administered, and patients are pretreated with antiplatelet medications to mitigate the risk of stent thrombosis, which is a potential complication. Access to the vertebral artery is achieved through either an open cut down technique or a percutaneous approach. In the open technique, a surgical incision is made to expose the vessel, allowing for catheter insertion. Conversely, the percutaneous method involves the use of a large bore needle to access the vessel through the skin, followed by catheter insertion. Fluoroscopic imaging is utilized throughout the procedure to guide the catheter into the subclavian artery and advance it to the point just before the vertebral artery's origin. Biplane road maps are generated to accurately locate the diseased area, which is then bypassed using a guidewire. Prior to stent deployment, balloon angioplasty may be performed to prepare the vessel. Once the stent is satisfactorily placed, the catheter is withdrawn. It is important to note that CPT® Code 0075T is designated for the treatment of the first vessel, while CPT® Code 0076T is used to report each additional vessel treated during the procedure.
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The transcatheter placement of extracranial vertebral artery stent(s) is indicated for patients presenting with specific vascular conditions that compromise the integrity and function of the vertebral artery. These conditions include:
The procedure for transcatheter placement of extracranial vertebral artery stent(s) involves several critical steps to ensure successful intervention. The following outlines the procedural steps:
Following the transcatheter placement of extracranial vertebral artery stent(s), patients are typically monitored for any immediate complications. Post-procedure care may include observation for signs of bleeding, vascular complications, or neurological deficits. Patients are often advised to continue antiplatelet therapy as prescribed to prevent thrombotic events. Follow-up imaging may be scheduled to assess the patency of the stent and the overall condition of the vertebral artery. Recovery time can vary, but many patients are able to resume normal activities within a few days, depending on their overall health and the complexity of the procedure.
| Short Descr | S&I STENT/CHEST VERT ART | Medium Descr | TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL | Long Descr | Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 59 - Other OR procedures on vessels of head and neck |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 0075T | MPFS Status: Carrier Priced APC C PUB 100 CPT Assistant Article Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel | 37252 | Addon Code MPFS Status: Active Code APC N ASC N1 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure) | 37253 | Addon Code MPFS Status: Active Code APC N ASC N1 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure) |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2015-01-01 | Changed | Description Changed |
| 2005-01-01 | Added | First appearance in code book in 2005. |
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