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CPT®
75992

CPT® Code 75992
Deleted

Code deleted, see 37225, 37227, 37229, 37231.

Official Description

Transluminal atherectomy, peripheral artery, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 75992 refers to a medical procedure known as transluminal atherectomy, specifically targeting peripheral arteries, which are the blood vessels located outside of the heart and brain, often in the legs or arms. This procedure is performed when an artery becomes obstructed due to the buildup of plaque, a condition known as atherosclerosis. During the procedure, the physician utilizes specialized instruments, including an atherectomy catheter, which is designed to cut through the plaque and effectively reopen the blocked artery, restoring blood flow. The physician also employs radiological supervision and interpretation, meaning that they will monitor and analyze X-ray images of the affected area throughout the procedure to ensure accuracy and effectiveness. It is important to note that if additional arteries are treated during the same session, the code 75993 should be added to account for each additional artery addressed in the procedure.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 75992 is indicated for patients who present with peripheral artery disease (PAD) characterized by significant arterial blockage due to plaque accumulation. This condition may manifest through various symptoms, including but not limited to:

  • Intermittent Claudication - Patients may experience pain, cramping, or heaviness in the legs or arms during physical activities, which typically subsides with rest.
  • Rest Pain - Severe cases may lead to pain in the limbs even at rest, indicating critical limb ischemia.
  • Non-Healing Wounds or Ulcers - The lack of adequate blood flow can result in wounds or ulcers that do not heal properly.
  • Gangrene - In extreme cases, insufficient blood supply can lead to tissue death, necessitating urgent intervention.

2. Procedure

The transluminal atherectomy procedure involves several critical steps to ensure successful treatment of the blocked artery. The following outlines the procedural steps:

  • Step 1: Patient Preparation - The patient is positioned comfortably, and the area of the body where the catheter will be inserted is cleaned and sterilized to minimize the risk of infection. Sedation or local anesthesia may be administered to ensure patient comfort during the procedure.
  • Step 2: Catheter Insertion - A small incision is made, typically in the groin or arm, to access the femoral or radial artery. A guide wire is then inserted into the artery, followed by the atherectomy catheter, which is advanced to the site of the blockage.
  • Step 3: Plaque Removal - Once the catheter is in place, the physician activates the atherectomy device, which uses a rotating blade or laser to cut through the plaque. This action helps to remove the obstruction and restore the artery's diameter, allowing for improved blood flow.
  • Step 4: Radiological Supervision - Throughout the procedure, the physician utilizes fluoroscopy or other imaging techniques to visualize the artery and ensure that the catheter is correctly positioned and that the plaque is being effectively removed.
  • Step 5: Post-Procedure Assessment - After the atherectomy is completed, the physician assesses the results through imaging to confirm that the artery is adequately opened. The catheter is then carefully removed, and the incision site is closed and bandaged.

3. Post-Procedure

Following the transluminal atherectomy procedure, patients are typically monitored for a short period to ensure there are no immediate complications. Post-procedure care may include instructions for wound care at the incision site, recommendations for activity restrictions, and guidance on managing any discomfort or pain. Patients may also be advised to follow up with their healthcare provider to assess the success of the procedure and to discuss any further treatment options if necessary. It is essential for patients to report any unusual symptoms, such as increased pain, swelling, or signs of infection at the incision site, to their healthcare provider promptly.
Short Descr ATHERECTOMY, X-RAY EXAM
Medium Descr TRLUML ATHRC PRPH ART RS&I
Long Descr Transluminal atherectomy, peripheral artery, 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 Items and Services Packaged into APC Rates
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 191 - Arterio- or venogram (not heart and head)
Date
Action
Notes
2011-01-01 Deleted Code deleted, see 37225, 37227, 37229, 37231.
1993-01-01 Added Code added.
Code
Description
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