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Code deleted, see 0235T.

Official Description

Transluminal atherectomy, visceral, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 75995 refers to a medical procedure known as transluminal atherectomy, specifically targeting visceral arteries that supply blood to organs in the abdomen. This procedure is performed when these arteries become obstructed due to the buildup of plaque, which can restrict blood flow and lead to various complications. During the procedure, a physician utilizes specialized instruments, including an atherectomy catheter, which is designed to cut through the plaque and effectively reopen the affected artery. This intervention is crucial for restoring adequate blood flow to the organs, thereby alleviating symptoms and preventing further health issues. Additionally, the physician employs radiological supervision and interpretation, which involves examining X-ray images of the targeted area to ensure precision and effectiveness in the treatment. It is important to note that for each additional artery treated during the procedure, the CPT® Code 75996 should be added to the billing to reflect the comprehensive nature of the intervention.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 75995 is indicated for patients experiencing arterial blockages in the visceral arteries, which can lead to reduced blood flow to abdominal organs. The following conditions may warrant the performance of this procedure:

  • Arterial Occlusion The presence of plaque buildup causing significant narrowing or blockage of the arteries supplying blood to abdominal organs.
  • Ischemic Symptoms Symptoms such as abdominal pain, cramping, or other signs of ischemia due to inadequate blood supply to the organs.
  • Diagnostic Confirmation Situations where imaging studies have confirmed the presence of significant arterial disease that necessitates intervention.

2. Procedure

The transluminal atherectomy procedure involves several critical steps to ensure successful treatment of the arterial blockage:

  • Step 1: Patient Preparation The patient is prepared for the procedure, which includes obtaining informed consent, ensuring the patient is in a comfortable position, and administering any necessary sedation or anesthesia to minimize discomfort during the intervention.
  • Step 2: Accessing the Artery A small incision is made, typically in the groin area, to access the femoral artery. A sheath is then inserted into the artery to facilitate the introduction of the atherectomy catheter.
  • Step 3: Catheter Insertion The atherectomy catheter is carefully advanced through the sheath and guided to the site of the blockage in the visceral artery. This is done under fluoroscopic guidance to ensure accurate placement.
  • 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 process helps to restore the lumen of the artery, allowing for improved blood flow.
  • Step 5: Radiological Supervision Throughout the procedure, the physician continuously monitors X-ray images to assess the effectiveness of the atherectomy and to ensure that the artery is adequately reopened.
  • Step 6: Completion and Closure After the atherectomy is completed, the catheter is removed, and the sheath is withdrawn. The incision site is then closed, and appropriate dressings are applied to promote healing.

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 guidelines for pain management. Patients may also be advised to follow up with their healthcare provider to assess the success of the procedure and to monitor for any potential recurrence of arterial blockage. It is essential for patients to report any unusual symptoms, such as increased pain or swelling at the site, to their physician promptly.

Short Descr ATHERECTOMY, X-RAY EXAM
Medium Descr TRLUML ATHRC VISC RS&I
Long Descr Transluminal atherectomy, visceral, 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 0235T.
1993-01-01 Added Code added.
Code
Description
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