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The procedure described by CPT® Code 35471 refers to a percutaneous transluminal balloon angioplasty specifically targeting the renal or visceral arteries. This minimally invasive technique is utilized to treat arterial blockages that can impede blood flow to vital organs. During the procedure, the physician accesses the affected artery, typically through the femoral artery, which is located in the groin area. The process begins with the preparation of the skin and puncturing of the artery using a needle to gain access. A sheath is then inserted to facilitate the introduction of other instruments. A guidewire is carefully navigated through the sheath and into the occluded artery, allowing for the advancement of a catheter equipped with a balloon tip. Once positioned at the site of the blockage, the balloon is inflated, exerting pressure that compresses the plaque against the arterial wall, thereby widening the vessel and restoring blood flow. This inflation may be repeated multiple times to achieve optimal results. Following the angioplasty, the catheter is exchanged for a guidewire, and an angiography catheter is introduced to assess the success of the procedure. Contrast material is injected to visualize the artery, confirming its patency through imaging. After the angiography, the catheter is removed, and pressure is applied to the puncture site to prevent bleeding, followed by the application of a pressure dressing to ensure proper healing.
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The procedure of percutaneous transluminal balloon angioplasty, as described by CPT® Code 35471, is indicated for patients experiencing significant arterial occlusions in the renal or visceral arteries. These occlusions may lead to various clinical symptoms and conditions, including:
The procedure for CPT® Code 35471 involves several critical steps to ensure successful angioplasty of the renal or visceral artery:
After the completion of the percutaneous transluminal balloon angioplasty, patients are typically monitored for any immediate complications, such as bleeding or hematoma formation at the puncture site. It is essential to ensure that the arterial access site is stable and that the patient is hemodynamically stable. Patients may be advised to rest and limit physical activity for a short period following the procedure. Follow-up imaging may be scheduled to assess the long-term success of the angioplasty and to monitor for any potential re-narrowing of the artery. Additionally, patients may receive instructions regarding medication management, including antiplatelet therapy, to reduce the risk of future vascular events.
| Short Descr | REPAIR ARTERIAL BLOCKAGE | Medium Descr | TRLUML BALLOON ANGIOP PRQ RENAL/VISCERAL ART | Long Descr | Transluminal balloon angioplasty, percutaneous; renal or visceral artery | 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) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | 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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