Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
RedactPHI
HIPAA-Compliant PHI Redaction
DetectICD10CM
ICD-10-CM Code Detection
Log in Register free account
1 code page views remaining. Guest accounts are limited to 1 page view. Register free account to get 5 more views.
Log in Register free account
CPT®
75993

CPT® Code 75993
Deleted

Code deleted, see 37233, 37235, 0238T.

Official Description

Transluminal atherectomy, each additional peripheral artery, radiological supervision and interpretation (List separately in addition to code for primary procedure)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 75993 refers to a specific medical procedure known as transluminal atherectomy, which is performed on peripheral arteries, particularly those located in the legs or arms. This procedure is utilized when an artery has become obstructed due to the accumulation of plaque, a fatty substance that can restrict blood flow. During the atherectomy, the physician employs specialized instruments, including an atherectomy catheter, which is designed to cut through the plaque buildup. This action effectively reopens the artery, allowing for improved blood circulation. The procedure is conducted under radiological supervision, meaning that the physician utilizes X-ray imaging to visualize the targeted area throughout the process. This imaging is crucial for ensuring precision and safety during the intervention. It is important to note that CPT® Code 75993 is specifically designated for each additional peripheral artery treated during the procedure, and it should be reported separately in conjunction with the primary procedure code.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 75993 is indicated for patients who present with peripheral artery disease (PAD) or similar conditions that result in significant arterial blockage due to plaque formation. The following are specific indications for performing transluminal atherectomy:

  • Peripheral Artery Disease (PAD) Patients diagnosed with PAD may experience reduced blood flow to the limbs, leading to symptoms such as pain, cramping, or weakness, particularly during physical activities.
  • Critical Limb Ischemia This severe form of PAD can result in non-healing wounds or ulcers, necessitating intervention to restore adequate blood flow and prevent limb loss.
  • Restenosis Patients who have previously undergone angioplasty or stenting may develop new blockages, making atherectomy a suitable option to clear the artery.

2. Procedure

The procedure for transluminal atherectomy, as described by CPT® Code 75993, involves several critical steps to ensure effective treatment of the blocked artery. Each step is essential for the successful completion of the procedure:

  • Step 1: Preparation The patient is positioned appropriately, and the area of the body where the catheter will be inserted is cleaned and sterilized. Local anesthesia may be administered to minimize discomfort 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 process helps to remove the obstruction and restore blood flow through the artery.
  • Step 4: Imaging Guidance Throughout the procedure, the physician utilizes X-ray imaging to monitor the progress and ensure that the catheter is correctly positioned. This radiological supervision is crucial for the safety and effectiveness of the intervention.
  • Step 5: Completion After the plaque has been adequately removed, the catheter is withdrawn, and the incision site is closed. The physician may apply a bandage and provide post-procedure instructions to the patient.

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 on activity restrictions, such as avoiding strenuous activities for a specified duration. Patients may also be advised to keep the incision site clean and dry, and to watch for any signs of infection or unusual symptoms. Follow-up appointments are often scheduled to assess the success of the procedure and to monitor the patient's recovery and overall vascular health.
Short Descr ATHERECTOMY, X-RAY EXAM
Medium Descr TRLUML ATHRC EA PRPH ART RS&I
Long Descr Transluminal atherectomy, each additional peripheral artery, 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 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 37233, 37235, 0238T.
1993-01-01 Added Code added.
Code
Description
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"