CPT® Code 76001

Deleted

1. Indications

The indications for the use of CPT® Code 76001 include the following:

• Nephrostolithotomy This procedure involves the removal of kidney stones through a small incision in the back, where fluoroscopy assists in visualizing the stones and guiding the surgeon.
• Endoscopic Retrograde Cholangiopancreatography (ERCP) This is a procedure used to diagnose and treat conditions related to the bile ducts and pancreas, where fluoroscopy aids in visualizing the anatomy and any obstructions.
• Bronchoscopy This procedure allows for the examination of the airways and lungs, with fluoroscopy providing real-time imaging to assist in navigating the bronchial passages.
• Transbronchial Biopsy This involves obtaining tissue samples from the lungs, where fluoroscopic guidance is crucial for accurate targeting of the biopsy site.

2. Procedure

The procedural steps for the application of CPT® Code 76001 are as follows:

• Step 1: Preparation The patient is positioned appropriately for the procedure, ensuring optimal access to the area of interest. The physician or qualified health care professional prepares the fluoroscopy equipment, ensuring it is calibrated and functioning correctly.
• Step 2: Initiation of Fluoroscopy The fluoroscopy is initiated, and real-time imaging begins. The physician or qualified health care professional monitors the images displayed on the monitor, ensuring that they provide clear visualization of the internal structures relevant to the procedure being performed.
• Step 3: Assistance During Procedure As the nonradiologic physician or other qualified health care professional performs the procedure, the fluoroscopy is continuously monitored. The physician providing the fluoroscopy offers guidance based on the real-time images, assisting in the accurate execution of the procedure.
• Step 4: Duration of Monitoring The fluoroscopic monitoring continues for more than one hour, as required by the complexity of the procedure. The physician remains vigilant, ensuring that the imaging supports the procedural needs throughout the duration of the intervention.
• Step 5: Conclusion of Procedure Once the procedure is completed, the fluoroscopy is concluded. The physician may document the findings and any relevant observations made during the fluoroscopic monitoring, which may be important for post-procedure care and follow-up.

3. Post-Procedure

After the completion of the procedure, the patient may require monitoring for any immediate post-procedural complications. The physician or qualified health care professional should provide instructions regarding recovery, including any necessary follow-up appointments or additional imaging that may be required. Documentation of the fluoroscopy time and any significant findings during the procedure should be recorded in the patient's medical record to support billing and compliance requirements. It is essential to ensure that the patient understands any signs or symptoms to watch for that may indicate complications, as well as the importance of adhering to follow-up care.