CPT® Code 0620T

Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultrasound guidance for vascular access when performed, all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention, all associated radiological supervision and interpretation, when performed

Endovascular venous arterialization of the tibial or peroneal vein is a specialized medical procedure aimed at restoring blood flow in patients experiencing chronic occlusion or failed attempts at revascularization. This condition often results in persistent pain and nonhealing ulcers, significantly impacting the patient's quality of life. The procedure involves the placement of intravascular stent grafts, which are designed to facilitate blood flow through the affected veins. Access to the common femoral artery on the same side is achieved, allowing for the insertion of a sheath that is advanced to the target artery, typically the posterior tibial artery. Through the use of arteriography with contrast, the physician can visualize the obstruction or site of occlusion, which is critical for planning the intervention. The procedure employs a series of catheterizations and imaging guidance to ensure precision and effectiveness in creating a new pathway for blood flow. By utilizing advanced techniques such as balloon dilation and the deployment of stent grafts, the procedure aims to establish a permanent arteriovenous connection, ultimately improving circulation to the foot and alleviating symptoms associated with venous occlusion.