Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
RedactPHI
HIPAA-Compliant PHI Redaction
DetectICD10CM
ICD-10-CM Code Detection
Log in Register free account
1 code page views remaining. Guest accounts are limited to 1 page view. Register free account to get 5 more views.
Log in Register free account

Official Description

Near-infrared guidance for vascular access requiring real-time digital visualization of subcutaneous vasculature for evaluation of potential access sites and vessel patency

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Near-infrared guidance for vascular access is a specialized procedure that utilizes advanced imaging technology to assist healthcare professionals in locating veins for access. This technique employs a device that combines near-infrared (NIR) light with imaging technology to visualize subcutaneous vasculature in real-time. The procedure involves exposing the patient's skin to an NIR light source, which penetrates the tissues and reflects back from the surrounding areas, while the blood vessels themselves do not reflect this light. As a result, the device captures an image of the surrounding tissues, which is then processed and enhanced using a green LED to create a clear visual representation. This processed image is projected onto the skin at the exact anatomical location of the underlying vasculature, allowing for a precise and accurate visualization of the blood vessels. The displayed image features the surrounding tissue in green and the vasculature in black, effectively creating a three-dimensional roadmap that guides clinicians in accessing veins. This technology is particularly beneficial for patients who require phlebotomy or intravenous therapy, as it reduces the uncertainty and difficulty often associated with locating veins, thereby improving the overall efficiency and success of vascular access procedures.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The near-infrared guidance for vascular access is indicated for use in patients who require assistance in locating veins for various medical procedures. The following conditions or situations may warrant the use of this technology:

  • Phlebotomy Patients requiring blood draws for laboratory testing.
  • Intravenous Therapy Individuals needing intravenous access for medication administration, hydration, or other therapeutic interventions.
  • Difficult Venous Access Patients with challenging venous anatomy, such as those with obesity, edema, or previous venous scarring.

2. Procedure

The procedure for utilizing near-infrared guidance for vascular access involves several key steps to ensure effective visualization of the subcutaneous vasculature:

  • Step 1: Preparation The healthcare provider prepares the patient by explaining the procedure and ensuring that the area of access is clean and appropriately positioned for optimal visualization.
  • Step 2: Application of NIR Device The near-infrared guidance device is positioned over the area of interest on the patient's skin. The device emits near-infrared light, which penetrates the skin and reflects off the surrounding tissues.
  • Step 3: Image Capture and Processing A digital video camera within the device captures the reflected light from the surrounding tissues. This image is processed by the device's image processing component to enhance visibility.
  • Step 4: Visualization The processed image is projected back onto the skin at the exact anatomical location of the underlying vasculature. The surrounding tissues are displayed in green, while the blood vessels appear in black, providing a clear roadmap for the clinician.
  • Step 5: Vascular Access With the visual guidance provided by the device, the healthcare provider can accurately locate and access the vein for phlebotomy or intravenous therapy.

3. Post-Procedure

After the near-infrared guidance procedure, the healthcare provider will typically monitor the access site for any signs of complications, such as bleeding or infection. The patient may be advised on care for the access site, including keeping it clean and dry. Follow-up may be necessary to ensure that the vascular access remains patent and to address any further therapeutic needs. The use of this technology aims to enhance the success rate of vascular access and minimize discomfort for the patient.

Short Descr NEAR IFR GUIDE OF VASC SITE
Medium Descr NEARINFRED GUIDANCE VASC ACES RL TIME DIG VISU
Long Descr Near-infrared guidance for vascular access requiring real-time digital visualization of subcutaneous vasculature for evaluation of potential access sites and vessel patency
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
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 9 - 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) 9 - Other Medical Items or Services
Berenson-Eggers TOS (BETOS) I4A - Imaging/procedure - heart including cardiac catheter
MUE Not applicable/unspecified.
CCS Clinical Classification 226 - Other diagnostic radiology and related techniques
Date
Action
Notes
2016-12-31 Deleted Code deleted.
2012-01-01 Added Added
Code
Description
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"