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The CPT® Code 75964 refers to the procedure of transluminal balloon angioplasty performed on each additional peripheral artery, excluding the renal or other visceral arteries, iliac, or lower extremity arteries. This procedure is accompanied by radiological supervision and interpretation, which is essential for ensuring the accuracy and effectiveness of the angioplasty. The process begins with obtaining a roadmapping angiogram of the peripheral artery anatomy, which serves as a guide for the subsequent angioplasty. During the procedure, fluoroscopic guidance is utilized to assist in the precise placement of guidewires and catheters, as well as during the inflation of the balloon used to open the narrowed artery. After the angioplasty, a final angiogram is conducted to assess the patency of the artery, ensuring that blood flow is restored effectively. The physician is responsible for providing a comprehensive written report that details the radiological aspects of the procedure, including the interpretation of the findings from both the angiographic and fluoroscopic imaging. It is important to note that this code is used in conjunction with the primary procedure code, specifically CPT® Code 75962 for the initial peripheral artery, allowing for accurate billing and documentation of the services rendered.
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The procedure represented by CPT® Code 75964 is indicated for patients who require transluminal balloon angioplasty of additional peripheral arteries, specifically those that are not renal, visceral, iliac, or lower extremity arteries. This may include patients presenting with symptoms of peripheral artery disease, such as claudication, ischemic rest pain, or non-healing wounds, which necessitate intervention to restore adequate blood flow to the affected areas.
The procedure for CPT® Code 75964 involves several critical steps to ensure successful angioplasty of the additional peripheral artery. Initially, a roadmapping angiogram is performed to visualize the anatomy of the peripheral artery. This imaging is crucial as it provides a detailed map of the arterial structure, allowing the physician to plan the intervention effectively.
Post-procedure care following the angioplasty involves monitoring the patient for any complications and assessing the effectiveness of the intervention. Patients may be observed for signs of bleeding, hematoma formation, or any adverse reactions to the procedure. Follow-up imaging may be scheduled to ensure the artery remains patent and to evaluate the long-term success of the angioplasty. The physician will provide instructions regarding activity levels, medication adherence, and any necessary lifestyle modifications to support vascular health and prevent future complications.
| Short Descr | REPAIR ARTERY BLOCKAGE EACH | Medium Descr | TRLUML BALOON ANGIOP PERIPHER EA ADDL ART RS&I | Long Descr | Transluminal balloon angioplasty, each additional peripheral artery other than renal or other visceral artery, iliac or lower extremity, radiological supervision and interpretation (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | 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 | 9 - 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 | Items and Services Packaged into APC Rates | 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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| 2016-12-31 | Deleted | Code deleted. See 36902, 36905, 37246, 37247. |
| 2013-01-01 | Changed | Description Changed |
| 2012-01-01 | Changed | Description Changed |
| 2011-07-01 | Changed | Long description revised to exclude cervical carotid. |
| 2011-01-01 | Changed | Long description revised. Medium description changed. Short description changed. |
| Pre-1990 | Added | Code added. |
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