CPT® Code 36160

The CPT® Code 36160 refers to the introduction of a needle or intracatheter into the aorta via a translumbar approach. This procedure is characterized by its infrequent use in clinical practice. During the procedure, the patient is positioned prone, which means they lie flat on their stomach. A long hollow needle, which is encased in a protective sheath, is carefully advanced into the aorta through the left flank. This approach allows for direct access to the aorta, facilitating the introduction of medications or radiopaque contrast media as necessary. After the needle is inserted, it is withdrawn, leaving the sheath in place to maintain access to the aorta. Following the injection, the sheath is subsequently removed. To manage any potential external bleeding, the patient is then repositioned to a supine position, with a bed of gauze placed under the left flank. Throughout the procedure, the patient is closely monitored for signs of internal hemorrhage, ensuring prompt intervention if complications arise. This detailed description highlights the technical aspects and procedural context of the translumbar approach to aortic access.