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The CPT® Code 37204 refers to a medical procedure known as transcatheter occlusion or embolization. This procedure involves the introduction of an occlusive device into a blood vessel located in the extremity or trunk. The process begins with the insertion of a catheter, which is a thin, flexible tube, into the vessel through a separate, previously reported procedure. Once the catheter is in place, it is carefully advanced to the specific site that requires occlusion, which is the blockage of blood flow. The occlusive device is then introduced through the catheter and positioned within the vessel to effectively obstruct the flow of blood. This procedure is typically performed using various methods, and while it primarily targets one operative site, it may also involve multiple methods and multiple vessels during the treatment. Additionally, imaging techniques such as fluoroscopy or ultrasound may be utilized for guidance throughout the procedure, ensuring accurate placement of the occlusive device. It is important to note that this procedure is specifically indicated for non-central nervous system conditions and does not apply to the head or neck regions.
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The transcatheter occlusion or embolization procedure, represented by CPT® Code 37204, is indicated for various clinical scenarios where the blockage of blood flow is necessary. The following conditions may warrant this procedure:
The transcatheter occlusion or embolization procedure involves several critical steps to ensure successful treatment. The following outlines the procedural steps involved:
After the transcatheter occlusion or embolization procedure, patients may require specific post-procedure care to ensure proper recovery. Monitoring for any complications, such as bleeding or infection at the catheter insertion site, is essential. Patients may also be advised on activity restrictions to promote healing and prevent any strain on the treated area. Follow-up imaging may be necessary to assess the effectiveness of the occlusion and to ensure that the desired outcomes have been achieved. Additionally, healthcare providers will provide instructions regarding any medications that may be needed to manage pain or prevent complications following the procedure.
| Short Descr | TRANSCATHETER OCCLUSION | Medium Descr | TCAT OCCLS/EMBOLJ PRQ NON-CNS NON-HEAD/NCK | Long Descr | Transcatheter occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method, non-central nervous system, non-head or neck | 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) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | 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 | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
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