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The CPT® Code 75900 refers to the procedure of exchanging a previously placed intravascular catheter during thrombolytic therapy. This procedure is specifically designed for situations where a catheter, which has been previously inserted into a blood vessel, needs to be replaced. The primary purpose of this catheter is to facilitate the infusion of thrombolytic agents—medications that help dissolve blood clots. During this procedure, the physician not only performs the exchange of the catheter but also supervises the entire process through radiological means. This involves taking and interpreting X-ray images of the blood vessel and the clot, ensuring that the catheter is correctly positioned and that the thrombolytic therapy is being effectively administered. The combination of catheter exchange and radiological supervision is crucial for the successful management of conditions related to blood clots, providing a clear visual assessment of the treatment's progress and effectiveness.
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The procedure associated with CPT® Code 75900 is indicated for specific clinical scenarios where thrombolytic therapy is necessary. The following conditions may warrant the exchange of a previously placed intravascular catheter:
The procedure for CPT® Code 75900 involves several critical steps to ensure the safe and effective exchange of the catheter during thrombolytic therapy. Each step is essential for the successful completion of the procedure:
Following the exchange of the intravascular catheter, the patient may require specific post-procedure care to ensure optimal recovery and monitoring. This includes observing the catheter site for any signs of complications, such as bleeding or infection. The physician may also schedule follow-up imaging studies to evaluate the effectiveness of the thrombolytic therapy and the positioning of the new catheter. Patients are typically advised to report any unusual symptoms, such as increased pain or swelling at the catheter site, to their healthcare provider promptly. Additionally, the continuation of thrombolytic therapy may be necessary, and the healthcare team will provide instructions regarding medication administration and any required follow-up appointments.
| Short Descr | INTRAVASCULAR CATH EXCHANGE | Medium Descr | INTRAVASCULAR CATH EXCHANGE | Long Descr | Exchange of a previously placed intravascular catheter during thrombolytic therapy with contrast monitoring, 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) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
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