CPT® Code 35400

Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure)

An angioscopy of non-coronary vessels or grafts is a specialized medical procedure that involves the use of a fiberoptic imaging system to visualize the interior of blood vessels. This procedure is typically performed during a therapeutic intervention, which means it is conducted in conjunction with another primary procedure that is separately reportable. The angioscopy technique utilizes a combination of illumination fibers and imaging fibers, along with a video camera and monitor, to capture detailed images of the blood vessel's interior. This allows healthcare professionals to assess the condition of the vessel or graft in real-time. The process begins with the cleansing of the skin over the access vessel, followed by puncturing the vessel to insert a sheath. A guidewire is then advanced to the targeted non-coronary vessel or graft, and the angioscopy catheter is carefully maneuvered into position. An occlusion balloon is inflated to facilitate the examination, and the vessel is flushed with lactated Ringer's solution to enhance visibility. The imaging bundle is advanced to the area of interest, where images are captured and displayed on a monitor for the physician to review and interpret. A written report is subsequently generated to document the findings of the angioscopy.