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The CPT® Code 35473 refers to a specific medical procedure known as percutaneous transluminal balloon angioplasty of the iliac artery. This procedure is performed to treat blockages or narrowing in the iliac artery, which can impede blood flow. During the angioplasty, a physician accesses the iliac artery, typically through the femoral artery, using a minimally invasive technique. The process begins with the preparation of the skin over the access site, followed by puncturing the artery with a needle to insert a sheath. A guidewire is then navigated through the artery to the site of the blockage. A catheter equipped with a balloon tip is advanced over this guidewire to the occluded area. Once in position, the balloon is inflated, which compresses the plaque against the arterial wall, thereby widening the artery and restoring blood flow. The balloon may be inflated multiple times to achieve optimal results. After the angioplasty, an angiography catheter is used to perform a completion angiography, which involves injecting contrast material to visualize the artery and confirm that it is open. Finally, the procedure concludes with the application of pressure to the puncture site to prevent bleeding, followed by the placement of a pressure dressing. This procedure is crucial for patients experiencing symptoms related to reduced blood flow due to arterial blockages.
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The procedure described by CPT® Code 35473 is indicated for patients experiencing conditions related to the narrowing or occlusion of the iliac artery. These indications may include:
The procedure for CPT® Code 35473 involves several critical steps to ensure successful angioplasty of the iliac artery:
Post-procedure care following CPT® Code 35473 involves monitoring the patient for any complications, such as bleeding or hematoma at the puncture site. Patients are typically advised to rest and avoid strenuous activities for a specified period. Follow-up appointments may be scheduled to assess the success of the procedure and monitor the patient's recovery. Additionally, patients may receive instructions regarding medication management, lifestyle modifications, and signs of complications to watch for as they heal.
| Short Descr | REPAIR ARTERIAL BLOCKAGE | Medium Descr | TRLUML BALO ANGIOP PRQ ILIAC | Long Descr | Transluminal balloon angioplasty, percutaneous; 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) | 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 | Significant Procedure, Multiple Reduction Applies | 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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