2025 CPT code 75956
(Active) Effective Date: N/A Revision Date: N/A Radiology Procedures - Endovascular Procedures Radiology Feed
Endovascular repair of the descending thoracic aorta, including radiological supervision and interpretation; involving coverage of the left subclavian artery origin.
Modifiers 26 (professional component only), TC (technical component only), and 52 (reduced services) may be applicable, depending on the circumstances of the procedure.Always refer to the most current CPT guidelines.
Medical necessity is established by the presence of a significant descending thoracic aortic aneurysm, dissection, or other pathology that poses a significant risk of rupture or other life-threatening complications.The need for endovascular repair should be documented and supported by pre-procedural imaging and clinical assessment.
The clinical responsibility includes pre-procedural patient assessment, performing the endovascular repair under fluoroscopic guidance,interpreting the fluoroscopic and angiographic images to confirm device placement and assess for complications, and post-procedural follow-up.
- Radiology
- Radiology Procedures > Diagnostic Radiology (Diagnostic Imaging) Procedures > Endovascular Procedures
In simple words: This code covers the doctor's imaging work and interpretation of images during a minimally invasive surgery to fix a weakened or damaged area in the main artery of the chest (descending thoracic aorta).This surgery uses a small tube (endoprosthesis) placed in the artery to repair the problem, often including an extension if needed. The images guide the placement of this tube.
This CPT code encompasses the radiological supervision and interpretation for the endovascular repair of the descending thoracic aorta.The procedure involves addressing conditions such as aneurysms, pseudoaneurysms, dissections, penetrating ulcers, intramural hematomas, or traumatic disruptions.The repair includes placement of an initial endoprosthesis covering the origin of the left subclavian artery, and may necessitate additional descending thoracic aortic extensions to reach the celiac artery origin.The code includes all associated angiography, fluoroscopic guidance, and contrast injections.
Example 1: A 65-year-old male patient presents with a descending thoracic aortic aneurysm involving the left subclavian artery origin.The interventional radiologist performs an endovascular repair using 75956, including the placement of an endoprosthesis covering the subclavian artery origin and a subsequent extension to the celiac artery origin., A 72-year-old female patient experiences a traumatic rupture of the descending thoracic aorta with involvement of the left subclavian artery.Emergency endovascular repair is performed using 75956, guided by fluoroscopy and angiography., A 58-year-old male patient with a chronic dissection of the descending thoracic aorta is treated with endovascular repair. The procedure involves using 75956 to deploy an endoprosthesis covering the left subclavian artery and extending to the celiac artery, necessitating multiple extensions.
* Detailed history and physical examination focusing on the patient's cardiovascular status.* Pre-procedural imaging studies (CT, MRI, or conventional angiography) demonstrating the aneurysm, dissection, or other pathology.* Intraprocedural fluoroscopy and angiographic images to demonstrate stent placement and exclude complications.* Post-procedural imaging studies to assess the success of the intervention.* Operative report detailing the procedure performed, including details about the devices used and placement.
** This code is specific to endovascular repair with coverage of the left subclavian artery origin.Always review the latest CPT guidelines and payer-specific policies before coding.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: This information requires access to specific payer fee schedules and RVU data which is not available in the provided source.
- Global Days: The global period for this procedure is not specified in the available information. Further information is needed from the payer's guidelines.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be applicable when reporting the technical component of the procedure separately, though hospital policies may vary.
- Fee Schedule: Historical fee schedule data is not included in the provided text.Consult appropriate fee schedules for the relevant years.
- Specialties:Interventional Radiology, Vascular Surgery, Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center