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The CPT® Code 0237T refers to a specific medical procedure known as transluminal peripheral atherectomy, which can be performed either through an open surgical approach or a percutaneous (minimally invasive) technique. This procedure targets the brachiocephalic trunk and its branches, which are critical blood vessels supplying blood to the arms and head. During the atherectomy, the physician utilizes radiological supervision to guide the procedure, ensuring precision in targeting the occluded areas within these vessels. The primary goal of this intervention is to remove plaque buildup from the arterial walls, which can impede blood flow and lead to various cardiovascular complications. The procedure involves the use of specialized instruments, including a cutting balloon catheter designed to shave away the plaque, thereby restoring patency to the affected vessels. The detailed steps of the procedure, including the methods of access and the techniques employed, are crucial for understanding the complexity and the technical requirements involved in performing this intervention effectively.
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The procedure described by CPT® Code 0237T is indicated for patients experiencing significant arterial occlusion in the brachiocephalic trunk and its branches. This condition may manifest as symptoms related to reduced blood flow, which can include:
The procedure for CPT® Code 0237T involves several critical steps to ensure successful atherectomy of the brachiocephalic trunk and branches:
Post-procedure care for patients undergoing the atherectomy includes monitoring for any signs of complications, such as bleeding or infection at the access site. If an open approach was utilized, the patient may require additional care for the incision site. In both cases, patients are typically advised to rest and avoid strenuous activities for a specified period to promote healing. Follow-up appointments may be scheduled to assess the success of the procedure and ensure that blood flow has been adequately restored.
| Short Descr | TRLUML PERIP ATHRC BRCHIOCPH | Medium Descr | TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL | Long Descr | Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | 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 | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 2 | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
This is a primary code that can be used with these additional add-on codes.
| 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) |
| 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2011-01-01 | Added | Added |
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