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Code deleted, see 0235T.

Official Description

Transluminal atherectomy, each additional visceral 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 75996 refers to a specific medical procedure known as transluminal atherectomy, which is performed on additional visceral arteries. This procedure is utilized when there is a blockage in an artery that supplies blood to organs in the abdomen, typically caused by the buildup of plaque. During the procedure, the physician employs specialized instruments, including an atherectomy catheter, which is designed to cut through the plaque and restore blood flow by reopening the affected artery. The physician also utilizes radiological supervision and interpretation, meaning that they will examine X-ray images of the targeted area to guide the procedure effectively. It is important to note that this code is listed separately and is to be used in addition to the code for the primary procedure performed on the first artery. For each additional artery treated, the code 75996 should be added to the billing to ensure accurate representation of the services provided.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 75996 is indicated for patients who exhibit symptoms or conditions related to blockages in visceral arteries that supply blood to abdominal organs. These indications may include:

  • Abdominal Pain: Patients may experience pain in the abdominal region due to insufficient blood flow caused by arterial blockages.
  • Ischemia: This condition occurs when there is a reduction in blood flow to the organs, leading to potential organ damage or dysfunction.
  • Intermittent Claudication: Patients may report pain or cramping in the legs or buttocks during physical activity, which can be a sign of peripheral artery disease affecting visceral arteries.
  • Organ Dysfunction: Blockages may lead to dysfunction of organs such as the kidneys or intestines, necessitating intervention to restore adequate blood supply.

2. Procedure

The procedure for transluminal atherectomy, as described by CPT® Code 75996, involves several critical steps to ensure successful treatment of the affected visceral arteries. Each step is essential for the effective removal of plaque and restoration of blood flow.

  • Step 1: Accessing the Artery The physician begins by accessing the targeted visceral artery through a small incision, typically in the groin or wrist, where a catheter is inserted into the vascular system. This access point allows the physician to navigate to the site of the blockage.
  • Step 2: Insertion of the Atherectomy Catheter Once access is achieved, the physician carefully advances the atherectomy catheter through the artery to the location of the plaque buildup. The catheter is equipped with a cutting mechanism designed to remove the plaque while minimizing damage to the surrounding arterial tissue.
  • Step 3: Performing the Atherectomy The physician activates the atherectomy device, which cuts through the plaque and allows for its removal. This step is crucial for reopening the artery and restoring normal blood flow to the affected organ.
  • Step 4: Radiological Supervision Throughout the procedure, the physician utilizes real-time X-ray imaging to visualize the artery and ensure accurate placement of the catheter. This radiological supervision is vital for guiding the procedure and assessing the effectiveness of the atherectomy.
  • Step 5: Post-Procedure Assessment After the atherectomy is completed, the physician evaluates the results using imaging techniques to confirm that the artery is adequately reopened. If additional visceral arteries require treatment, the procedure may be repeated, and CPT® Code 75996 is added for each additional artery treated.

3. Post-Procedure

Following the completion of the transluminal atherectomy procedure, patients are typically monitored for any immediate complications, such as bleeding or infection at the access site. Recovery may involve a short hospital stay, during which healthcare providers will assess the patient's vital signs and overall condition. Patients are often advised to avoid strenuous activities for a specified period to allow for proper healing. Follow-up appointments are essential to evaluate the success of the procedure and to monitor for any potential recurrence of arterial blockages. Additionally, lifestyle modifications and medication may be recommended to support vascular health and prevent future complications.

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