CPT Knowledgebase - Sep 26, 2022

A patient presents with a type IV thoracoabdominal aortic aneurysm, and after the risks and benefits are discussed, it is determined that because of the anatomy of the disease, an endovascular repair will be performed. Access is gained via the femoral artery percutaneously and a branched graft with four branches is used. The proximal graft is landed in the distal thoracic aorta in order to obtain healthy tissue for a good seal. The branches are lined up for the left and right renal artery, celiac artery, and superior mesenteric artery and subsequently stented with a covered stent. The distal graft is then deployed into the bifurcation where an iliac extension graft is placed in the left and right iliac arteries to complete the surgery. What is the appropriate code(s) to report for this procedure, keeping in mind that a portion of the graft is placed in the thoracic aorta?

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