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CPT®
75676

CPT® Code 75676
Deleted

Code deleted, see 36222-36224

Official Description

Angiography, carotid, cervical, unilateral, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 75676 refers to an angiography of the carotid arteries, specifically focusing on the cervical region and performed unilaterally, meaning it is conducted on one side of the neck. In this procedure, a physician utilizes a catheter, which is a thin, flexible tube, to access one of the carotid arteries. The carotid arteries are major blood vessels that supply blood to the brain, neck, and face. To visualize the internal structure of the artery, a contrast dye is injected through the catheter. This dye enhances the visibility of the blood vessels during imaging. As the dye circulates through the artery, the physician captures a series of X-ray images, allowing for detailed examination of the artery's condition. This imaging technique is crucial for diagnosing various vascular conditions, such as blockages, stenosis, or other abnormalities within the carotid arteries, which can have significant implications for patient health, particularly concerning stroke risk.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The angiography procedure described by CPT® Code 75676 is indicated for several specific clinical scenarios. These indications may include:

  • Evaluation of Carotid Artery Disease This procedure is performed to assess the presence of atherosclerosis or other forms of carotid artery disease that may lead to reduced blood flow to the brain.
  • Investigation of Stroke Symptoms It is indicated for patients presenting with transient ischemic attacks (TIAs) or stroke symptoms, where understanding the vascular status of the carotid arteries is critical.
  • Assessment of Vascular Abnormalities The procedure may be indicated for identifying structural abnormalities, such as aneurysms or dissections, within the carotid arteries.
  • Preoperative Evaluation It can be utilized as part of the preoperative assessment for patients undergoing surgical procedures that involve the carotid arteries.

2. Procedure

The angiography procedure involves several key steps that ensure accurate imaging and assessment of the carotid arteries. These steps include:

  • Step 1: Patient Preparation Prior to the procedure, the patient is prepared by explaining the process and obtaining informed consent. The patient may be positioned comfortably, and vital signs are monitored to ensure stability throughout the procedure.
  • Step 2: Catheter Insertion The physician begins the procedure by inserting a catheter into a suitable access point, typically the femoral artery in the groin or the radial artery in the wrist. The catheter is carefully advanced through the vascular system to reach the carotid artery on the designated side of the neck.
  • Step 3: Contrast Injection Once the catheter is in place, a contrast dye is injected through the catheter into the carotid artery. This dye is essential for enhancing the visibility of the artery during imaging.
  • Step 4: Imaging Acquisition As the contrast dye flows through the artery, the physician captures a series of X-ray images. These images are taken at various angles to provide a comprehensive view of the carotid artery's structure and any potential abnormalities.
  • Step 5: Catheter Removal After the imaging is complete, the catheter is carefully removed. The access site is then managed to prevent bleeding, which may involve applying pressure or using a closure device.

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 adverse reactions to the contrast dye. The access site is assessed for any signs of hematoma or infection. Patients may be advised to rest and avoid strenuous activities for a specified duration. Additionally, the physician will review the imaging results with the patient and discuss any necessary follow-up care or further diagnostic steps based on the findings of the angiography.
Short Descr ARTERY X-RAYS NECK
Medium Descr ANGIOGRAPHY CAROTID CERVICAL UNILATERAL RS&I
Long Descr Angiography, carotid, cervical, unilateral, 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) none
MUE Not applicable/unspecified.
CCS Clinical Classification 188 - Cerebral arteriogram
Date
Action
Notes
2013-01-01 Deleted Code deleted, see 36222-36224
2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
Code
Description
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