CPT® Code 75901

Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation

The procedure described by CPT® Code 75901 involves the mechanical removal of obstructive material, such as a fibrin sheath, that has accumulated around a central venous device. This obstruction can lead to complications, including catheter failure, which may necessitate intervention. The procedure is performed through a separate venous access point, typically accessed via the femoral vein. During the procedure, a specialized instrument known as a loop snare is utilized. This instrument is carefully advanced to the site of obstruction under radiologic supervision, ensuring precise placement and guidance. The loop snare is designed to encircle the obstructive material tightly, allowing the provider to effectively strip away the fibrous build-up as it is pulled down along the length of the central venous catheter. This technique is crucial for restoring the functionality of the catheter and preventing further complications associated with obstruction.