Endovascular aneurysm repair

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Transcript Endovascular aneurysm repair

Presented by Lori Dafoe, CPC

     CPT Chapter Notes CPT Assistant Articles Laminated, color coded vascular charts Medlearn/Panacea Medical Asset Management National Correct Coding Initiative (NCCI) Edits Vascular Web Excellent physician documentation!

 If the documentation records an open surgery directly at the aneurysm site, see CPT 35001 35152 to report.

 Femoral Artery: 34812  Femoral Artery (Bilateral): 34812-50  Iliac Artery (Unilateral): 34820  Iliac Artery (Bilateral): 34820-50

 Aorta alone (no selective catheterization): 36200  Aorta Bilateral (Identifies accessing aorta via both legs): 36200-50  Aorta + 1 different access points (Both legs): 36200 and 36245 St Order Vessel (eg, renal artery) via

 Tube: 34800  Modular Bifurcated: 34802  Unibody Bifurcated: 34804

(Note: Only one of these codes should be reported.)

Examples include:  S&I for Repair: CPT 75952    Extension Cuffs: CPT 34825 and +34826 S&I for extension cuffs: CPT 75953 Balloon angioplasty outside endograft:  35473 or 35454 35471 or 35450 Arterial Occlusion or Embolization: 37204

Iliac Extender Aortic Extender

 Tube prosthesis: CPT 34830  Aorto-bi-iliac prosthesis: CPT 34831  Aorto-bifemoral prosthesis: CPT 34832

      Step #1: Is this an endovascular repair, or an open repair?

Step #2: Was there open surgical exposure of an artery?

Step #3: What catheters were introduced into the aorta or aortic branches?

Step #4: What type of device was used for the repair?

Step #5: Were other separately reportable services provided?

Step #6: Was the endovascular repair converted to an open procedure?