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The CPT® Code 0205T refers to a specialized procedure known as intravascular catheter-based coronary vessel or graft spectroscopy. This procedure is performed during a diagnostic evaluation or therapeutic intervention, such as a cardiac catheterization, percutaneous coronary angioplasty, atherectomy, or stent placement. The primary purpose of this procedure is to visualize the coronary vessel or bypass graft using advanced spectroscopy techniques, specifically infrared spectroscopy, to assess the chemical composition of intraluminal plaque. This evaluation is crucial for understanding the nature of the plaque that may be obstructing blood flow within the coronary arteries.
During the procedure, infrared or near-infrared technology is employed, which involves exposing the vessel to a light beam that encompasses a wide range of wavelengths. Some of these wavelengths are absorbed by the plaque and the surrounding blood vessel tissues, while others pass through. By analyzing the wavelengths that are absorbed, healthcare professionals can determine the chemical makeup of the plaque present in the vessel. Additionally, Raman spectroscopy may also be utilized, which operates using a single wavelength light beam. This technique monitors shifts in the wavelength that occur due to the interaction of photons with the vessel tissue and plaque, allowing for a detailed evaluation of the substances present. The physician overseeing the procedure provides imaging supervision and interprets the resulting images, culminating in a comprehensive written report. It is important to note that this code is applicable for each vessel that is evaluated during the procedure, and it is reported separately in addition to the primary procedure code.
© Copyright 2025 Coding Ahead. All rights reserved.
The CPT® Code 0205T is indicated for use during specific diagnostic and therapeutic procedures involving the coronary vessels or bypass grafts. The following conditions or scenarios warrant the application of this code:
The procedure associated with CPT® Code 0205T involves several critical steps that ensure accurate evaluation of the coronary vessel or graft. The following outlines the procedural steps:
Following the completion of the procedure associated with CPT® Code 0205T, several post-procedure considerations are important for patient care. The physician will typically monitor the patient for any immediate complications related to the catheter insertion site and the overall procedure. Patients may be advised to rest and avoid strenuous activities for a specified period to ensure proper recovery. Additionally, the physician will review the findings from the spectroscopy report with the patient, discussing any necessary follow-up interventions or treatments based on the chemical composition of the plaque evaluated. Continuous monitoring of the patient's cardiovascular health may also be recommended to prevent future complications.
| Short Descr | INIRS EACH VESSEL ADD-ON | Medium Descr | IV CATH CORONARY VESSEL/GRAFT SPECTROSCPY EA VSL | Long Descr | Intravascular catheter-based coronary vessel or graft spectroscopy (eg, infrared) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation, and report | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | 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 | Items and Services Packaged into APC Rates | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 47 - Diagnostic cardiac catheterization, coronary arteriography |
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| 2019-12-31 | Deleted | Code deleted, use 93799. |
| 2013-01-01 | Changed | Guideline information changed. |
| 2011-01-01 | Changed | Guideline information changed. |
| 2010-01-01 | Added | - |
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