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CPT®
75650

CPT® Code 75650
Deleted

Code deleted, see 36221-36226

Official Description

Angiography, cervicocerebral, catheter, including vessel origin, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 75650 refers to an angiography of the cervicocerebral region, which involves the use of a catheter to visualize the blood vessels in the neck and brain. In this procedure, a physician inserts a catheter into the aortic arch, the large artery that emerges from the heart and extends into the chest. A contrast dye is then injected through the catheter, allowing for enhanced imaging of the blood vessels. As the dye flows through the arteries, it outlines the vascular structures, enabling the physician to capture multiple images rapidly. These images are crucial for assessing the condition of the blood vessels, identifying any abnormalities, and guiding further medical decisions. The procedure is performed under radiological supervision, ensuring that the images are interpreted accurately for diagnostic purposes.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The angiography procedure described by CPT® Code 75650 is indicated for various clinical scenarios where detailed visualization of the cervicocerebral blood vessels is necessary. The following conditions may warrant this procedure:

  • Suspected Vascular Abnormalities The procedure is performed when there is a suspicion of vascular abnormalities such as aneurysms, stenosis, or arteriovenous malformations in the neck and brain.
  • Evaluation of Stroke Angiography is indicated in cases of acute stroke to assess the blood flow and identify any occlusions or blockages in the cerebral arteries.
  • Preoperative Planning This procedure may be utilized to map out the vascular anatomy prior to surgical interventions or endovascular procedures involving the brain or neck.
  • Trauma Assessment In cases of head or neck trauma, angiography can help evaluate potential vascular injuries that may require immediate intervention.

2. Procedure

The angiography procedure involves several critical steps to ensure accurate imaging of the cervicocerebral vessels. The following outlines the procedural steps:

  • Step 1: Catheter Insertion The physician begins by inserting a catheter into the aortic arch, which is located at the top of the chest. This is typically done using a percutaneous approach, where a small incision is made to access the blood vessel.
  • Step 2: Contrast Dye Injection Once the catheter is properly positioned, a contrast dye is injected through the catheter. This dye is essential for enhancing the visibility of the blood vessels during imaging.
  • Step 3: Imaging Acquisition As the contrast dye travels through the arteries in the neck towards the head, the physician rapidly captures multiple images using fluoroscopy or other imaging techniques. This allows for real-time visualization of the blood flow and vascular structures.
  • Step 4: Image Interpretation After the images are obtained, the physician reviews and interprets the results, assessing for any abnormalities or areas of concern within the cervicocerebral vasculature.

3. Post-Procedure

Following the angiography procedure, patients are typically monitored for a short period to ensure there are no immediate complications, such as bleeding or allergic reactions to the contrast dye. It is common for patients to experience some discomfort at the catheter insertion site, which should resolve over time. Instructions regarding activity restrictions and follow-up appointments will be provided to ensure proper recovery and to discuss the findings from the imaging study. Patients may also be advised to hydrate adequately to help flush the contrast dye from their system.
Short Descr ARTERY X-RAYS HEAD & NECK
Medium Descr ANGIOGRAPHY CERVICOCEREBRAL CATHETER RS&I
Long Descr Angiography, cervicocerebral, catheter, including vessel origin, radiological supervision and interpretation
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
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 Discontinued Code
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) I4B - Imaging/procedure - other
MUE Not applicable/unspecified.
CCS Clinical Classification 188 - Cerebral arteriogram
Date
Action
Notes
2013-01-01 Deleted Code deleted, see 36221-36226
2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
Code
Description
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