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The CPT® Code 75954 refers to the endovascular repair of an iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, utilizing an ilio-iliac tube endoprosthesis. This procedure is performed under radiological supervision and interpretation, which is essential for ensuring the accuracy and safety of the intervention. The term 'iliac artery' refers to the large blood vessels that supply blood to the pelvis and lower limbs, and an aneurysm is a localized enlargement of the artery due to a weakness in the vessel wall. A pseudoaneurysm, on the other hand, is a false aneurysm that occurs when blood leaks out of the artery and is contained by surrounding tissue. Arteriovenous malformations are abnormal connections between arteries and veins, while trauma refers to injuries that may compromise the integrity of the iliac artery. During this procedure, comprehensive radiological techniques are employed, including angiography, which is an imaging technique that visualizes the inside of blood vessels. Prior to the deployment of the endovascular prosthesis, angiography of the iliac artery and its branches is conducted to assess the anatomy and identify any abnormalities. Fluoroscopic guidance is utilized throughout the procedure, providing real-time imaging that assists in the precise placement of guidewires, catheters, and the endoprosthesis itself. This guidance is critical during balloon dilation, which is performed to ensure the prosthesis is properly seated within the artery. After the prosthesis is deployed, a post-deployment angiogram is conducted to evaluate the position of the prosthesis, check for any endoleaks—where blood leaks back into the aneurysm sac—and verify the patency of the artery. The physician is responsible for providing a detailed written interpretation of all imaging performed during the procedure, ensuring that all findings are documented for future reference and patient care.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 75954 is indicated for the following conditions:
The endovascular repair procedure begins with the physician performing a thorough assessment of the iliac artery using angiography. This imaging technique allows for visualization of the artery and its branches, helping to identify the exact location and nature of the aneurysm, pseudoaneurysm, or malformation. Following this initial assessment, fluoroscopic guidance is employed to assist in the precise placement of guidewires and catheters into the iliac artery. The use of fluoroscopy provides real-time imaging, which is crucial for navigating the vascular anatomy safely. Once the guidewires and catheters are in place, the ilio-iliac tube endoprosthesis is delivered to the site of the aneurysm or malformation. The physician utilizes fluoroscopic guidance throughout this process to ensure accurate positioning of the prosthesis. After the prosthesis is deployed, balloon dilation may be performed to properly seat the device within the artery. This step is also monitored using fluoroscopy to confirm that the prosthesis is correctly positioned and functioning as intended. After deployment, a post-deployment angiogram is conducted to evaluate the position of the endoprosthesis, check for any endoleaks, and verify the patency of the iliac artery. This final imaging step is critical for assessing the success of the procedure and ensuring that the vascular anatomy is restored to its proper function. The physician concludes the procedure by providing a comprehensive written interpretation of all angiographic and fluoroscopic imaging performed during the intervention, documenting the findings for future reference.
Post-procedure care following the endovascular repair of the iliac artery involves monitoring the patient for any immediate complications, such as bleeding or signs of infection at the access site. Patients may be advised to limit physical activity for a specified period to allow for proper healing. Follow-up imaging may be scheduled to assess the long-term success of the procedure, including the position of the endoprosthesis and the integrity of the iliac artery. The physician will provide specific instructions regarding activity restrictions, medication management, and signs of potential complications that the patient should be aware of during the recovery period.
| Short Descr | ILIAC ANEURYSM ENDOVAS RPR | Medium Descr | EVASC RPR ILIAC ART W/ILIO-ILIAC PROSTH RS&I | Long Descr | Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, using ilio-iliac tube endoprosthesis, 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 | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 191 - Arterio- or venogram (not heart and head) |
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