CPT® Code 0254T

Deleted

Endovascular repair of iliac artery bifurcation (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma, dissection) using bifurcated endograft from the common iliac artery into both the external and internal iliac artery, including all selective and/or nonselective catheterization(s) required for device placement and all associated radiological supervision and interpretation, unilateral

The procedure described by CPT® Code 0254T involves the endovascular repair of the iliac artery bifurcation, which may be necessitated by various vascular conditions such as an aneurysm, pseudoaneurysm, arteriovenous malformation, trauma, or dissection. This minimally invasive technique utilizes a bifurcated endograft that is inserted from the common iliac artery into both the external and internal iliac arteries. The procedure is performed under fluoroscopic guidance, which allows for real-time imaging to ensure accurate placement of the graft. The approach typically involves accessing both femoral arteries, with the ipsilateral femoral artery being incised to facilitate the introduction of a guidewire. This guidewire is then navigated to the site of the arterial defect, allowing for the advancement of an introducer sheath that carries the endograft. The contralateral femoral artery is also accessed to ensure proper positioning of the graft within the iliac arteries. The deployment of the endograft is carefully monitored through fluoroscopy to confirm its correct placement and to check for any potential complications, such as endoleaks. This procedure is comprehensive, encompassing all necessary catheterizations and radiological supervision required for successful device placement.