The CPT code for endarterectomy carotid, a crucial procedure in vascular surgery, holds immense significance in medical billing and coding. This guide delves into the specifics of this code, providing a comprehensive overview of the endarterectomy carotid procedure, its indications, contraindications, preoperative preparation, postoperative care, complications, risks, outcomes, and billing considerations.
Endarterectomy carotid, often performed to address carotid artery stenosis, involves removing plaque buildup from the carotid artery, thus restoring blood flow to the brain. The procedure’s success rates are generally high, with factors like the patient’s overall health and the severity of the stenosis influencing the prognosis.
CPT Code Overview
CPT (Current Procedural Terminology) codes are standardized medical codes used to describe medical procedures and services for billing and insurance purposes. The specific CPT code for endarterectomy carotid is 35355.
Endarterectomy Carotid Procedure
Endarterectomy carotid is a surgical procedure to remove plaque from the carotid artery, which is the main artery that supplies blood to the brain. The procedure involves making an incision in the carotid artery, removing the plaque, and then repairing the artery.
Indications and Contraindications, Cpt code for endarterectomy carotid
- Indications:
- Carotid artery stenosis (narrowing) of 70% or more
- Symptomatic carotid artery stenosis (e.g., transient ischemic attack, stroke)
- Contraindications:
- Severe medical conditions that increase surgical risk (e.g., heart failure, severe lung disease)
- Recent stroke or myocardial infarction
- Untreated carotid artery dissection
Preoperative Preparation
Preoperative preparation for endarterectomy carotid typically includes:
- Medical history and physical examination
- Carotid artery ultrasound or angiography
- Blood tests
- Patient education and informed consent
Postoperative Care
Postoperative care for endarterectomy carotid typically includes:
- Immediate postoperative monitoring in the intensive care unit
- Close monitoring of vital signs and neurological status
- Antiplatelet therapy
- Wound care
- Follow-up appointments to monitor recovery and assess for complications
Complications and Risks: Cpt Code For Endarterectomy Carotid
Potential complications of endarterectomy carotid include:
- Stroke
- Hemorrhage
- Infection
- Cranial nerve injury
- Death
Outcomes and Prognosis
The success rate of endarterectomy carotid is generally high, with most patients experiencing significant improvement in symptoms and a reduced risk of stroke. However, the prognosis can vary depending on factors such as the severity of the stenosis, the patient’s overall health, and the presence of any complications.
Billing and Coding
The CPT code for endarterectomy carotid is 35355. Additional codes may be used to describe specific techniques or services provided during the procedure.
User Queries
What is the CPT code for endarterectomy carotid?
The CPT code for endarterectomy carotid is 35301.
What are the indications for endarterectomy carotid?
Endarterectomy carotid is indicated in patients with carotid artery stenosis, typically greater than 50%, who are at high risk of stroke.
What are the contraindications for endarterectomy carotid?
Contraindications for endarterectomy carotid include severe medical conditions, such as uncontrolled hypertension or recent myocardial infarction, and anatomical factors that make the procedure high-risk.
What are the potential complications of endarterectomy carotid?
Potential complications of endarterectomy carotid include stroke, bleeding, infection, and nerve damage.
