CPT Code 37230 | Description & Clinical Information

CPT 37230 describes the restoration of blood supply in a narrowed tibial or peroneal artery through endovascular, open or percutaneous approach, using a transluminal stent placement to expand the narrow portion of the vessel wall, including angioplasty within the same vessel, and is used for the initial vessel.

Official Description

The CPT book defines CPT code 37230 as: “Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed”.

Clinical Information

The procedure describes by CPT code 37230 involves accessing the lumen of a diseased vessel through either an open or percutaneous approach. With the former approach, a surgical incision is made over the target artery; in the latter, the provider punctures the artery through the skin.

Once the provider has gained access to the vessel, they pass a specially designed catheter stent system through a guidewire and into the artery. After placing the stent at the site of the occlusion, they expand it against the artery wall to open and recanalize the vessel.

To ensure proper placement, the provider uses an angioscope to confirm the position of the stent before withdrawing the catheter system through the site of access. If a percutaneous approach was used, the provider applies a compression bandage over the puncture location to stop all bleeding. Alternatively, if an open approach was taken, they repair the incision by suturing the soft tissue in layers.

CPT code 37230 includes angioplasty within the same vessel if the provider performs it. This procedure helps improve blood flow and prevent further damage to the affected artery. It can also alleviate symptoms such as pain and cramping caused by occlusions in the vascular system.

Overall, the catheter stent system used in CPT code 37230 is a minimally invasive way to treat occlusions in vessels. It allows providers to re-establish blood flow with minimal damage to surrounding tissues, reducing the risk of complications and expediting the recovery process. Patients should speak to their healthcare providers to determine if this procedure is appropriate for their specific medical condition.

Return to all the CPT codes for endovascular revascularization.

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