CPT® Code 0146T

Deleted

1. Indications

The procedure associated with CPT® Code 0146T is indicated for various clinical scenarios where detailed imaging of the heart and coronary arteries is necessary. The following conditions may warrant the use of this imaging technique:

• Coronary Artery Disease - Patients with suspected or known coronary artery disease may require this imaging to evaluate the condition of their coronary arteries.
• Assessment of Coronary Arteries - This procedure is indicated for assessing both native and anomalous coronary arteries, as well as any existing coronary bypass grafts.
• Preoperative Evaluation - Prior to surgical interventions such as bypass surgery or angioplasty, this imaging can provide critical information regarding the coronary anatomy.
• Evaluation of Chest Pain - Patients presenting with unexplained chest pain may undergo this procedure to rule out significant coronary artery obstruction.

2. Procedure

The procedure for CPT® Code 0146T involves several key steps to ensure accurate imaging of the heart and coronary arteries. The following outlines the procedural steps:

• Preparation of the Patient - The patient is prepared for the CT scan, which may include fasting for a specified period and ensuring that any necessary contrast material is available. The patient's medical history is reviewed to identify any contraindications to the use of contrast agents.
• Administration of Contrast Material - If indicated, contrast material is injected intravenously to enhance the visibility of the coronary arteries during imaging. This step is crucial for obtaining clear images of the vascular structures.
• Cardiac Gating - The CT scanner employs cardiac gating techniques, which involve synchronizing the imaging process with the cardiac cycle. The scanner remains inactive during the heart's motion and activates during brief periods of rest, capturing high-resolution images while minimizing radiation exposure.
• Image Acquisition - A series of two-dimensional images are taken from multiple angles around the heart. These images are then processed by a computer to create a detailed three-dimensional representation of the heart and coronary arteries.
• Post-Processing - After the images are acquired, 3D image postprocessing is performed to enhance the visualization of the coronary arteries and any anomalies present. This step allows for a comprehensive evaluation of the coronary anatomy.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 0146T, patients may be monitored for any immediate reactions to the contrast material. It is essential to assess the patient for any signs of allergic reactions or complications. The results of the imaging study will be interpreted by a qualified radiologist or cardiologist, who will provide a detailed report outlining the findings. Patients may be advised on follow-up care based on the results, which could include further diagnostic testing or treatment options if significant coronary artery disease is identified. Recovery from the procedure is typically quick, and patients can usually resume normal activities shortly after the imaging is completed, barring any specific instructions from their healthcare provider.