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The procedure described by CPT® Code 35454 refers to an open transluminal balloon angioplasty specifically targeting the iliac artery. This medical intervention is performed to alleviate blockages or narrowing within the iliac artery, which can impede blood flow and lead to various complications. During the procedure, the physician begins by preparing the skin over the access artery, followed by making an incision to expose the artery. A small nick is made in the artery to facilitate the placement of a sheath, which allows for the introduction of a guidewire. This guidewire is then carefully advanced through the access artery into the occluded iliac artery. A catheter equipped with a balloon tip is subsequently maneuvered over the guidewire to the site of the blockage. Once positioned, the balloon is inflated, exerting pressure on the plaque buildup and compressing it against the arterial wall, thereby widening the artery and restoring blood flow. The inflation of the balloon may be repeated multiple times to achieve optimal results. After the angioplasty, the angioplasty catheter is exchanged for a guidewire, and an angiography catheter is introduced to assess the success of the procedure. Contrast material is injected, and a completion angiography is performed to confirm that the artery is patent, meaning it is open and unobstructed. Finally, the angiography catheter is removed, and the access artery is repaired before closing the skin incision. This comprehensive approach ensures that the iliac artery is effectively treated, promoting improved circulation and reducing the risk of further complications.
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The procedure of open transluminal balloon angioplasty of the iliac artery is indicated for patients experiencing specific conditions that necessitate intervention to restore blood flow. These indications may include:
The open transluminal balloon angioplasty procedure involves several critical steps to ensure effective treatment of the iliac artery. The process begins with the physician preparing the skin over the access artery, ensuring a sterile environment to minimize the risk of infection. Following this, an incision is made to expose the artery, allowing direct access for the subsequent steps. A small nick is made in the artery to facilitate the insertion of a sheath, which serves as a conduit for the guidewire.
Post-procedure care following an open transluminal balloon angioplasty of the iliac artery typically involves monitoring the patient for any immediate complications, such as bleeding or infection at the incision site. Patients may be advised to rest and limit physical activity for a specified period to promote healing. Follow-up appointments are essential to assess the success of the procedure and to monitor the patient's recovery. Additionally, patients may be prescribed medications to manage any underlying conditions, such as anticoagulants to prevent blood clots, and lifestyle modifications may be recommended to improve overall vascular health.
| Short Descr | REPAIR ARTERIAL BLOCKAGE | Medium Descr | TRLUML BALO ANGIOP OPN ILIAC | Long Descr | Transluminal balloon angioplasty, open; iliac | 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 | 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) | 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) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 60 - Embolectomy and endarterectomy of lower limbs |
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