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Official Description

Transcutaneous visible light hyperspectral imaging measurement of oxyhemoglobin, deoxyhemoglobin, and tissue oxygenation, with interpretation and report, per extremity

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Transcutaneous visible light hyperspectral imaging measurement is a non-invasive diagnostic procedure that assesses the levels of oxyhemoglobin and deoxyhemoglobin in the tissue, as well as overall tissue oxygenation. This procedure is particularly significant for individuals suffering from diabetes and peripheral artery disease, conditions that can lead to inadequate blood supply and increase the risk of ischemia, nonhealing wounds, and potential amputations. The technology utilizes hyperspectral imaging to differentiate between the light absorption characteristics of oxygenated and deoxygenated hemoglobin, allowing for precise quantitative measurements without the need for patient contact or the use of contrast agents. The device employed in this procedure is portable, battery-operated, and designed for ease of use, featuring hand grips and a display screen that presents color-coded, two-dimensional images of the oxygenation status of the scanned limb. This imaging technique provides valuable data regarding the oxygenation levels in specific tissue regions, facilitating timely and informed clinical decisions regarding patient care.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The transcutaneous visible light hyperspectral imaging measurement is indicated for the following conditions:

  • Diabetes Mellitus Patients with diabetes may experience complications related to poor blood circulation, making it essential to assess limb perfusion and oxygenation.
  • Peripheral Artery Disease (PAD) Individuals diagnosed with PAD require evaluation of blood supply to the extremities to prevent ischemic conditions.
  • Nonhealing Wounds This procedure is crucial for patients with wounds that do not heal properly, as it helps determine the adequacy of blood flow and oxygenation necessary for healing.
  • Risk of Amputation Patients at risk of limb amputation due to inadequate blood supply or severe ischemia benefit from this imaging to guide treatment decisions.

2. Procedure

The procedure involves several key steps to ensure accurate measurement and interpretation of tissue oxygenation levels:

  • Step 1: Preparation The patient is positioned comfortably, and the limb to be assessed is exposed. The area should be free of any obstructions that may interfere with the imaging process.
  • Step 2: Device Setup The handheld, battery-operated hyperspectral imaging device is prepared for use. The operator ensures that the device is functioning correctly and that the display screen is visible for real-time monitoring.
  • Step 3: Scanning the Limb The operator gently scans the device over the limb in question. As the device moves, it captures data on the light absorption characteristics of the hemoglobin present in the tissue.
  • Step 4: Data Acquisition The device processes the captured data and generates color-coded, two-dimensional images that represent the oxygenation levels of the scanned surface. This visual representation aids in the assessment of tissue perfusion.
  • Step 5: Interpretation and Reporting After the scanning is complete, the data is interpreted to provide a comprehensive report detailing the levels of oxyhemoglobin, deoxyhemoglobin, and overall tissue oxygenation for the selected regions.

3. Post-Procedure

Post-procedure care involves reviewing the generated report with the patient and discussing the findings. The healthcare provider may recommend further diagnostic tests or treatment options based on the results. There are no specific recovery requirements associated with this non-invasive procedure, allowing patients to resume their normal activities immediately. Continuous monitoring and follow-up assessments may be necessary for patients with underlying conditions such as diabetes or peripheral artery disease to ensure optimal management of their health.

Short Descr TC VIS LIT HYPERSPECTRAL IMG
Medium Descr TC VISIBLE LIGHT HYPERSPECTRAL IMG MEAS PER XTR
Long Descr Transcutaneous visible light hyperspectral imaging measurement of oxyhemoglobin, deoxyhemoglobin, and tissue oxygenation, with interpretation and report, per extremity
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 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 STV-Packaged Codes
Berenson-Eggers TOS (BETOS) none
MUE 4
Date
Action
Notes
2021-01-01 Added Code added.
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