CPT Knowledgebase - Oct 26, 2017

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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