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The CPT® Code 34806 refers to the transcatheter placement of a wireless physiologic sensor within an aneurysmal sac during an endovascular repair procedure. This specialized sensor, comparable in size to a grain of rice, is designed to monitor critical physiological parameters such as pressure, flow, and temperature within the aorta after the repair of an abdominal aortic aneurysm (AAA). The placement of this sensor is crucial as it allows for continuous, noninvasive monitoring of the aneurysmal sac, which is essential for detecting potential complications such as endoleaks or recurrent pressurization that may occur even after the aneurysm has been repaired. The sensor operates using acoustic waves, which can effectively transmit data through various tissues, including soft tissue, bone, and fluid, without being absorbed. This technology requires minimal energy while providing a high signal-to-noise ratio, making it suitable for deep tissue monitoring. Notably, the sensor does not have a battery, antenna, or connecting leads, which enhances its functionality and ease of use. The procedure involves the use of an introducer catheter and guidewire to position the sensor accurately within the aneurysmal sac under fluoroscopic guidance. The sensor is tethered in place during calibration, and two critical measurements are taken: a pre-exclusion measurement before the endovascular stent is placed, and a post-exclusion measurement after the stent placement. This comprehensive approach ensures that the sensor remains correctly positioned and functional, providing vital data for ongoing patient management following the endovascular repair of an AAA.
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The transcatheter placement of a wireless physiologic sensor (CPT® Code 34806) is indicated for patients undergoing endovascular repair of an abdominal aortic aneurysm (AAA). The procedure is particularly relevant for monitoring the following conditions:
The procedure for the transcatheter placement of the wireless physiologic sensor involves several critical steps to ensure accurate positioning and functionality:
After the placement of the wireless physiologic sensor, the patient will be monitored for any immediate complications related to the procedure. The sensor will provide continuous data on pressure, flow, and temperature, which will be crucial for assessing the patient's recovery and the integrity of the aneurysmal sac. Regular follow-up appointments may be scheduled to review the data collected by the sensor and to ensure that the patient remains stable. Any significant changes in the monitored parameters may prompt further investigation or intervention to address potential complications such as endoleaks or other issues related to the AAA repair.
| Short Descr | ANEURYSM PRESS SENSOR ADD-ON | Medium Descr | TCAT PLACEMENT PHYSIOLOGIC SENSOR ANEURYSMAL SAC | Long Descr | Transcatheter placement of wireless physiologic sensor in aneurysmal sac during endovascular repair, including radiological supervision and interpretation, instrument calibration, and collection of pressure data (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) | 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2B - Major procedure, cardiovascular-Aneurysm repair | MUE | Not applicable/unspecified. | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
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