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Official Description

Injection procedure during cardiac catheterization; for selective opacification of arterial conduits (eg, internal mammary), whether native or used for bypass

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Common Language Description

An injection procedure is performed during cardiac catheterization to achieve selective opacification of arterial conduits, which may include both native arteries and those utilized for bypass, such as the internal mammary artery. This procedure is essential for visualizing the arterial conduits through the injection of contrast media, allowing for detailed imaging and assessment. The primary goal is to obtain clear angiograms that can be reported separately, providing critical information regarding the condition and functionality of the arterial conduits. This procedure is often conducted in conjunction with other cardiac catheterization activities, ensuring comprehensive evaluation of the cardiovascular system.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The injection procedure coded as CPT® 93539 is indicated for the selective opacification of arterial conduits during cardiac catheterization. This procedure is typically performed in the following scenarios:

  • Assessment of Arterial Conduits This procedure is indicated for evaluating the patency and functionality of arterial conduits, which may include native arteries or those used for bypass, such as the internal mammary artery.
  • Diagnostic Imaging It is performed to obtain detailed angiographic images that assist in diagnosing conditions affecting the arterial conduits.

2. Procedure

The procedure involves several critical steps to ensure accurate visualization of the arterial conduits:

  • Step 1: Catheter Positioning A catheter is carefully positioned within the arterial conduits. This may involve navigating through the vascular system to reach the specific conduit of interest, such as the internal mammary artery, which is often used in bypass surgeries.
  • Step 2: Injection of Contrast Media Once the catheter is correctly positioned, contrast media is injected through the catheter. This contrast agent is essential for opacifying the arterial conduits, allowing for enhanced visibility during imaging.
  • Step 3: Visualization and Angiogram Acquisition Following the injection of contrast, the arterial conduits are visualized using fluoroscopy or other imaging techniques. This step is crucial for obtaining angiograms, which are detailed images that can be reported separately for further analysis and diagnosis.

3. Post-Procedure

After the injection procedure, patients may be monitored for any immediate reactions to the contrast media. It is important to assess the site of catheter insertion for any signs of complications, such as bleeding or infection. Patients may also undergo follow-up imaging or assessments to evaluate the results of the angiograms obtained during the procedure. Recovery time may vary depending on the individual patient's condition and the complexity of the cardiac catheterization performed.

Short Descr INJECTION, CARDIAC CATH
Medium Descr NJX PX DURING C-CATHJ SLCTV OPACIFICJ CONDUITS
Long Descr Injection procedure during cardiac catheterization; for selective opacification of arterial conduits (eg, internal mammary), whether native or used for bypass
Status Code Active Code
Global Days 000 - Endoscopic or Minor Procedure
PC/TC Indicator (26, TC) 0 - Physician Service Code
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) 2 - Surgery
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 47 - Diagnostic cardiac catheterization, coronary arteriography
Date
Action
Notes
2011-01-01 Deleted Code deleted, see 93451, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 93563, 93564, 93565, 93566, 93567, 93568.
1994-01-01 Added Code added.
Code
Description
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