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?