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The procedure described by CPT® Code 35450 refers to an open transluminal balloon angioplasty performed on a renal or other visceral artery. This medical intervention is aimed at treating blockages or narrowing within these arteries, which can impede blood flow and lead to various health complications. During the procedure, the physician makes an incision in the skin over the access artery to expose it. A sheath is then inserted into the artery, allowing for the introduction of a guidewire. This guidewire is carefully navigated through the artery to the site of the blockage. A catheter equipped with a balloon tip is advanced over the guidewire to the occluded area. Once in position, the balloon is inflated, which compresses the plaque against the arterial wall, thereby widening the artery and restoring blood flow. The inflation of the balloon may be repeated multiple times to achieve optimal results. Following the angioplasty, an angiography catheter is used to inject contrast material and perform a completion angiography, ensuring that the artery is open and functioning properly. Finally, the access artery is repaired, and the skin incision is closed, completing the procedure.
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The procedure of open transluminal balloon angioplasty, as described by CPT® Code 35450, is indicated for patients experiencing conditions that necessitate the restoration of blood flow in the renal or other visceral arteries. These indications may include:
The open transluminal balloon angioplasty procedure involves several critical steps to ensure successful treatment of the occluded artery. These steps include:
Post-procedure care following an open transluminal balloon angioplasty involves monitoring the patient for any complications and ensuring proper recovery. Patients may be observed for signs of bleeding or infection at the incision site. Additionally, follow-up imaging may be required to confirm the success of the procedure and the patency of the treated artery. Patients are typically advised on activity restrictions and may be prescribed medications to manage any underlying conditions, such as hypertension or hyperlipidemia, to prevent future arterial blockages.
| Short Descr | REPAIR ARTERIAL BLOCKAGE | Medium Descr | TRLUML BALOON ANGIOPL OPN RENAL/OTH VISCERAL ART | Long Descr | Transluminal balloon angioplasty, open; renal or other visceral artery | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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) | P2F - Major procedure, cardiovascular-Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |