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The procedure described by CPT® Code 35452 refers to an open transluminal balloon angioplasty specifically targeting the aorta. This medical intervention is performed to treat occlusions or blockages within the aorta, which can impede blood flow and lead to serious health complications. During the procedure, the physician gains access to the aorta through an incision in the skin over the access artery. This access allows for the introduction of specialized instruments necessary for the angioplasty. The process involves the use of a guidewire and a catheter equipped with a balloon tip, which is carefully navigated to the site of the blockage. Once positioned, the balloon is inflated to compress plaque against the arterial wall, thereby widening the artery and restoring blood flow. The procedure may require multiple inflations of the balloon to achieve optimal results. Following the angioplasty, a completion angiography is performed to confirm the success of the procedure and ensure that the aorta is patent, meaning that it is open and unobstructed. This comprehensive approach is critical for addressing significant vascular issues and improving patient outcomes.
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The open transluminal balloon angioplasty of the aorta, as described by CPT® Code 35452, is indicated for specific conditions that involve significant arterial occlusions. These indications include:
The procedure for open transluminal balloon angioplasty of the aorta involves several critical steps, each designed to ensure effective treatment of the occlusion:
After the completion of the open transluminal balloon angioplasty, patients typically undergo monitoring to assess their recovery. Post-procedure care may include managing any discomfort at the incision site and monitoring for potential complications such as bleeding or infection. Patients are often advised on activity restrictions and follow-up appointments to ensure proper healing and to evaluate the success of the procedure. It is essential for healthcare providers to provide clear instructions regarding medication management, including any anticoagulants or antiplatelet agents that may be prescribed to prevent thrombosis following the angioplasty.
| Short Descr | REPAIR ARTERIAL BLOCKAGE | Medium Descr | TRLUML BALLOON ANGIOPLASTY OPEN AORTIC | Long Descr | Transluminal balloon angioplasty, open; aortic | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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) | P2F - Major procedure, cardiovascular-Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
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