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CPT 0234T: Renal Artery Revascularization with Plaque Removal
CPT code 0234T represents renal artery revascularization with plaque removal performed by open surgical or percutaneous techniques to restore renal blood flow. This procedure addresses hemodynamically significant renal artery stenosis that can contribute to hypertension and renal dysfunction. Nationally, the code is relevant for hospitals and interventional practices managing vascular disease and impacts facility and physician billing for complex endovascular or surgical renal interventions.
Key payers in a national analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for renal artery plaque removal, typical sites of service, and which payers commonly cover such procedures. The publication also outlines expected benchmarks and utilization patterns, summarizes recent policy updates affecting coverage and coding practice, and highlights coding nuances that affect claim submission and reimbursement across payers.
This summary is intended to orient clinical administrators, billing professionals, and policy analysts to the purpose and billing context of CPT code 0234T, providing a foundation for deeper review of payer-specific policies, reimbursement benchmarks, and clinical documentation requirements.
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Billing Code Overview
CPT code 0234T describes a procedure to restore blood flow in a narrowed or blocked renal artery by removing deposited plaque. The service can be performed via an open surgical approach or percutaneously and involves re-establishing adequate renal arterial perfusion.
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Service type: Vascular interventional or surgical revascularization of the renal artery
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Typical site of service: Hospital operating room, hybrid operating suite, or interventional radiology/cardiac catheterization laboratory