CPT® Code 75954

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Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, using ilio-iliac tube endoprosthesis, radiological supervision and interpretation

The CPT® Code 75954 refers to the endovascular repair of an iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, utilizing an ilio-iliac tube endoprosthesis. This procedure is performed under radiological supervision and interpretation, which is essential for ensuring the accuracy and safety of the intervention. The term 'iliac artery' refers to the large blood vessels that supply blood to the pelvis and lower limbs, and an aneurysm is a localized enlargement of the artery due to a weakness in the vessel wall. A pseudoaneurysm, on the other hand, is a false aneurysm that occurs when blood leaks out of the artery and is contained by surrounding tissue. Arteriovenous malformations are abnormal connections between arteries and veins, while trauma refers to injuries that may compromise the integrity of the iliac artery. During this procedure, comprehensive radiological techniques are employed, including angiography, which is an imaging technique that visualizes the inside of blood vessels. Prior to the deployment of the endovascular prosthesis, angiography of the iliac artery and its branches is conducted to assess the anatomy and identify any abnormalities. Fluoroscopic guidance is utilized throughout the procedure, providing real-time imaging that assists in the precise placement of guidewires, catheters, and the endoprosthesis itself. This guidance is critical during balloon dilation, which is performed to ensure the prosthesis is properly seated within the artery. After the prosthesis is deployed, a post-deployment angiogram is conducted to evaluate the position of the prosthesis, check for any endoleaks—where blood leaks back into the aneurysm sac—and verify the patency of the artery. The physician is responsible for providing a detailed written interpretation of all imaging performed during the procedure, ensuring that all findings are documented for future reference and patient care.