A patient presents with Type IV thoracoabdominal aortic aneurysm, and after the risks and benefits were discussed, it was determined that an endovascular repair would be performed due to the anatomy of the disease. Access was gained via the femoral artery percutaneously, and a fenestrated graft, which had four true fenestrations (none were scallops), was used. The proximal graft was landed in the distal thoracic aorta healthy tissue for a good seal. The fenestrations were lined up for the left and right renal arteries, celiac artery, and superior mesenteric artery, and these locations were subsequently stented with a covered stent. The distal graft was then deployed into the aortic bifurcation where iliac extension grafts were placed in the left and right iliac arteries to complete the surgery. What are the appropriate code(s) to report for this procedure, keeping in mind that a portion of the graft was placed in the thoracic aorta? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article explains how a specific thoracoabdominal aortic aneurysm repair scenario is coded when the procedure includes a fenestrated endograft, visceral branch intervention, and extension into the iliac arteries. It is intended for coding professionals who need to understand the scope of the operative scenario and the related CPT guidance discussed in the article.

Why This Topic Matters

Thoracoabdominal aneurysm repairs can involve multiple components and vascular territories, making accurate code identification important for coding integrity and claim reporting. This article helps readers understand the general procedural categories involved in a complex endovascular repair case.

Codes Discussed

• CPT: 34848

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