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CPT®
75994

CPT® Code 75994
Deleted

Code deleted, see 0234T.

Official Description

Transluminal atherectomy, renal, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 75994 refers to a medical procedure known as transluminal atherectomy, specifically targeting the renal arteries. This procedure is performed when there is a blockage in the artery that supplies blood to the kidney, often caused by the buildup of plaque. The term "transluminal" indicates that the procedure is conducted within the lumen of the artery, allowing for direct access to the blockage without the need for extensive surgical intervention. During the procedure, specialized instruments, including an atherectomy catheter, are inserted into the affected artery. This catheter is designed to cut through the plaque, effectively removing it and reopening the artery to restore normal blood flow to the kidney. The physician utilizes radiological supervision, which involves the use of X-ray imaging, to visualize the targeted area throughout the procedure. This imaging is crucial for ensuring accurate placement of the instruments and for monitoring the progress of the atherectomy, thereby enhancing the safety and effectiveness of the intervention.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 75994 is indicated for patients experiencing significant arterial blockage in the renal arteries, which can lead to various complications, including hypertension and renal ischemia. The following conditions may warrant the performance of transluminal atherectomy:

  • Renal Artery Stenosis - A narrowing of the renal artery that can restrict blood flow to the kidney, often due to atherosclerosis.
  • Hypertension - Uncontrolled high blood pressure that may be secondary to renal artery stenosis.
  • Renal Ischemia - Insufficient blood supply to the kidney, which can result in kidney damage or dysfunction.

2. Procedure

The transluminal atherectomy procedure involves several critical steps to ensure successful intervention. The following outlines the procedural steps as described:

  • Step 1: Patient Preparation - The patient is positioned appropriately, and local anesthesia may be administered to minimize discomfort. The physician reviews the patient's medical history and imaging studies to confirm the presence of arterial blockage.
  • Step 2: Accessing the Artery - A small incision is made, typically in the groin area, to access the femoral artery. A sheath is inserted to facilitate the introduction of the atherectomy catheter into the vascular system.
  • Step 3: Catheter Navigation - The atherectomy catheter is carefully navigated through the vascular system to the renal artery. Fluoroscopy, a type of real-time X-ray imaging, is used to guide the catheter to the site of the blockage.
  • Step 4: Atherectomy Procedure - Once the catheter is positioned at the blockage, the physician activates the atherectomy device, which cuts through the plaque and removes it from the arterial wall. This step is crucial for restoring blood flow.
  • Step 5: Monitoring and Imaging - Throughout the procedure, the physician continuously monitors the progress using radiological imaging to ensure the effectiveness of the atherectomy and to assess the arterial lumen post-intervention.
  • Step 6: Completion and Closure - After the plaque has been adequately removed, the catheter is withdrawn, and the access site is closed, typically using manual pressure or a closure device to prevent bleeding.

3. Post-Procedure

Following the transluminal atherectomy, patients are monitored for any immediate complications, such as bleeding or vascular injury. Post-procedure care may include instructions for activity restrictions, pain management, and follow-up appointments to assess kidney function and blood pressure. Patients may also be advised on lifestyle modifications and medication adherence to manage underlying conditions contributing to arterial blockage. Regular follow-up imaging may be necessary to ensure the long-term success of the procedure and to monitor for any recurrence of stenosis.
Short Descr ATHERECTOMY, X-RAY EXAM
Medium Descr TRLUML ATHRC RNL RS&I
Long Descr Transluminal atherectomy, renal, 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 0234T.
1993-01-01 Added Code added.
Code
Description
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