The CPT code for subclavian angiogram, a crucial diagnostic procedure, plays a vital role in evaluating the subclavian artery. This guide delves into the specifics of this code, including its applications, procedural steps, and clinical indications.
Subclavian angiogram, often employed to diagnose and treat vascular disorders, provides valuable insights into the health of this critical artery.
Introduction
A subclavian angiogram is a minimally invasive imaging procedure that uses X-rays to visualize the subclavian artery, a major blood vessel that supplies blood to the arms, neck, and brain. It is typically performed to diagnose and evaluate various conditions affecting the subclavian artery, such as narrowing, blockages, or aneurysms.
This procedure is medically necessary for individuals experiencing symptoms suggestive of subclavian artery disease, such as arm pain, numbness, or weakness; dizziness or fainting; or a bruit (an abnormal sound heard over the artery).
CPT Code for Subclavian Angiogram
The CPT code for a subclavian angiogram is 36221.
The following modifiers may be used with this code:
- -52: Reduced services (e.g., if only one subclavian artery is imaged)
- -59: Distinct procedural service
Procedural Steps, Cpt code for subclavian angiogram
A subclavian angiogram is typically performed in a hospital or outpatient setting. The procedure involves the following steps:
- The patient is positioned on an angiography table, and an intravenous (IV) line is inserted into a vein in the arm.
- A local anesthetic is injected at the puncture site.
- A small incision is made in the skin, and a guidewire is inserted into the subclavian artery.
- A catheter is advanced over the guidewire into the subclavian artery.
- Contrast dye is injected through the catheter to make the blood vessels visible on X-ray images.
- X-ray images are taken to evaluate the subclavian artery for any abnormalities.
- The catheter and guidewire are removed, and pressure is applied to the puncture site to stop bleeding.
Clinical Indications
A subclavian angiogram is indicated in the following clinical situations:
- Suspected subclavian artery stenosis (narrowing)
- Suspected subclavian artery occlusion (blockage)
- Suspected subclavian artery aneurysm (bulge)
- Evaluation of arm pain, numbness, or weakness
- Evaluation of dizziness or fainting
- Evaluation of a bruit over the subclavian artery
Complications
Although subclavian angiograms are generally safe, there are potential complications associated with the procedure, including:
- Bleeding at the puncture site
- Infection
- Bruising
- Allergic reaction to the contrast dye
- Damage to the subclavian artery
- Stroke
- Ultrasound: Uses sound waves to create images of the subclavian artery.
- Magnetic resonance angiography (MRA): Uses magnetic fields and radio waves to create images of the subclavian artery.
- Computed tomography angiography (CTA): Uses X-rays and computer processing to create images of the subclavian artery.
Post-Procedural Care
After a subclavian angiogram, patients are typically monitored for several hours to ensure there are no complications. They may be instructed to rest and avoid strenuous activity for a few days. The puncture site should be kept clean and dry.
Patients should follow up with their doctor as directed to discuss the results of the angiogram and determine any necessary treatment options.
Alternative Imaging Techniques
In some cases, alternative imaging techniques may be used to evaluate the subclavian artery, including:
The choice of imaging technique depends on the specific clinical situation and the patient’s overall health.
User Queries: Cpt Code For Subclavian Angiogram
What is the CPT code for subclavian angiogram?
The CPT code for subclavian angiogram is 36217.
What are the clinical indications for subclavian angiogram?
Subclavian angiogram is indicated for evaluating suspected subclavian artery stenosis, aneurysm, or dissection.
What are the potential complications of subclavian angiogram?
Potential complications include bleeding, hematoma, infection, and contrast-induced nephropathy.
