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CPT®
0255T

CPT® Code 0255T
Deleted

Code deleted, to report see 0254T

Official Description

Endovascular repair of iliac artery bifurcation (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using bifurcated endoprosthesis from the common iliac artery into both the external and internal iliac artery, unilateral; radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 0255T involves the endovascular repair of the iliac artery bifurcation, which may be necessitated by various conditions such as an aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma. This intervention utilizes a bifurcated endoprosthesis, which is a specialized graft designed to restore normal blood flow and structural integrity to the affected arteries. The procedure is performed unilaterally, meaning it is conducted on one side of the body, specifically from the common iliac artery into both the external and internal iliac arteries. Radiological supervision and interpretation are integral components of this procedure, ensuring that the placement of the endoprosthesis is accurately guided and monitored through imaging techniques. This meticulous approach is essential for achieving optimal outcomes and minimizing complications associated with vascular repairs.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The endovascular repair of the iliac artery bifurcation using CPT® Code 0255T is indicated for the following conditions:

  • Aneurysm - A localized enlargement of the iliac artery that poses a risk of rupture.
  • Pseudoaneurysm - A false aneurysm that occurs when blood leaks out of the artery but is contained by surrounding tissue.
  • Arteriovenous malformation - An abnormal connection between arteries and veins that can lead to various complications.
  • Trauma - Injury to the iliac artery that may compromise blood flow and require surgical intervention.

2. Procedure

The procedure for endovascular repair of the iliac artery bifurcation involves several critical steps:

  • Step 1: Both femoral arteries are exposed to provide access for the procedure. The ipsilateral (same side) femoral artery is incised to facilitate the introduction of the necessary instruments.
  • Step 2: A guidewire is introduced through the incision and advanced to a point just above the defect in the external iliac artery. This guidewire serves as a pathway for subsequent devices.
  • Step 3: An introducer sheath containing the bifurcated endovascular graft is advanced over the guidewire and positioned accurately over the external iliac artery defect, utilizing fluoroscopic guidance to ensure correct placement.
  • Step 4: The contralateral (opposite side) femoral artery is also incised, and a guidewire is advanced into the contralateral iliac artery, then into the aorta, and subsequently into the ipsilateral external iliac artery.
  • Step 5: An angled guidewire is employed to access the internal iliac artery, allowing for the proper positioning of the graft.
  • Step 6: The correct positioning of the endograft within the external iliac artery is verified through fluoroscopy, after which the guidewire is removed.
  • Step 7: The introducer sheath is then removed, and the external iliac portion of the endograft is deployed to restore blood flow.
  • Step 8: The limb of the graft is manipulated into the internal iliac artery, with fluoroscopic verification of its position before deployment.
  • Step 9: The internal iliac limb of the graft is deployed, ensuring that it is correctly positioned to facilitate blood flow.
  • Step 10: A balloon catheter may be utilized as needed to properly seat the endograft, ensuring that it is securely placed within the arteries.
  • Step 11: After the balloon catheter is removed, a pigtail or sidehole catheter is introduced over the guidewire to perform angiography.
  • Step 12: Angiography is conducted to evaluate the position of the endograft and to check for any endoleaks, which are leaks that can occur around the graft.
  • Step 13: Finally, all catheters and guidewires are removed, and the incision in the groin is closed to complete the procedure.

3. Post-Procedure

Post-procedure care following the endovascular repair of the iliac artery bifurcation includes monitoring for any complications such as bleeding, infection, or graft-related issues. Patients may be advised to rest and limit physical activity for a specified period to promote healing. Follow-up imaging may be required to ensure the proper function of the endograft and to check for any potential endoleaks. It is essential for healthcare providers to provide clear instructions regarding wound care and signs of complications that patients should report.
Short Descr EVASC RPR ILIAC ART BIFR S&I
Medium Descr EVASC ILIAC ART BIFURC W/ENDOPROSTH UNI RS&I
Long Descr Endovascular repair of iliac artery bifurcation (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using bifurcated endoprosthesis from the common iliac artery into both the external and internal iliac artery, unilateral; radiological supervision and interpretation
Status Code Carriers Price the Code
Global Days YYY - Carrier Determines Whether Global Concept Applies
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) 2 - Surgery
Berenson-Eggers TOS (BETOS) P2E - Major procedure, cardiovascular-Pacemaker insertion
MUE Not applicable/unspecified.
CCS Clinical Classification 61 - Other OR procedures on vessels other than head and neck
Date
Action
Notes
2018-01-01 Deleted Code deleted, to report see 0254T
2017-12-31 Deleted Code deleted, use 0254T.
2013-01-01 Changed Guideline information removed.
2011-01-01 Added Added
Code
Description
Code
Description
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