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An intravascular stent is a medical device designed to be placed within a blood vessel to maintain its patency, particularly in cases where the vessel has become narrowed or blocked due to stenosis or occlusion. The procedure involves the use of a catheter, which is a thin, flexible tube that is inserted into the vascular system through a small incision. This catheter is navigated to the specific site within the vessel that requires treatment. Once the catheter reaches the targeted area, the stent is introduced through it and positioned appropriately. The stent is then expanded and secured in place, which helps to restore and enhance blood flow through the affected vessel. It is important to note that this procedure is performed on vessels other than the coronary arteries, carotid arteries, vertebral arteries, iliac arteries, and lower extremity arteries. The placement of the stent is typically guided by imaging techniques such as fluoroscopy or ultrasound, which may be reported separately. This code is specifically used for the initial vessel treated during the procedure, and while only one operative site is addressed, it is possible for multiple methods and vessels to be involved in the overall treatment plan.
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The transcatheter placement of an intravascular stent is indicated for patients presenting with specific vascular conditions that necessitate the restoration of blood flow. The following are the explicitly provided indications for this procedure:
The procedure for the transcatheter placement of an intravascular stent involves several critical steps, each essential for the successful placement of the stent. The following procedural steps are outlined:
After the transcatheter placement of the intravascular stent, patients may require monitoring for any immediate complications. Post-procedure care typically includes observation for signs of bleeding or vascular complications at the access site. Patients may also be prescribed antiplatelet medications to prevent thrombosis at the stent site. The expected recovery period can vary based on the individual patient's health status and the complexity of the procedure, but many patients can resume normal activities within a short time frame. Follow-up appointments are essential to assess the stent's function and the overall vascular health of the patient.
| Short Descr | TRANSCATH IV STENT PERCUT | Medium Descr | TCAT PLMT IV STENT PERCUTANEOUS 1ST VESSEL | Long Descr | Transcatheter placement of an intravascular stent(s) (except coronary, carotid, vertebral, iliac, and lower extremity arteries), percutaneous; initial vessel | 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) | 0 - 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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| 2014-01-01 | Deleted | Code deleted, see 37236, 37239 |
| 2013-01-01 | Changed | Guideline information changed. Also, AMA corrections document revised spelling of the word 'transcatheter'. |
| 2011-01-01 | Changed | Long description revised. Medium description changed. Short description changed. Guideline information changed. |
| 2008-01-01 | Changed | Code description changed. |
| 2005-01-01 | Changed | Code description changed. |
| 1993-01-01 | Added | Code added. |
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