tci General Surgery Coding Alert - 2001 Issue 8

Reader Question: Stent To Support AAA Endograft not Payable

Question: Your February 2001 article about new codes for AAA repairs did not discuss the implantation of self-expanding stents. The Ancure endograft limbs are unsupported. On occasion, the completion arteriogram may demonstrate the appearance of a stenosis of one or both limbs due to plaque or tortuous vessels. In this instance, do you agree that implantation of a self-expanding stent is indicated and clearly a separate and distinct service and not part of a routine endograft implantation?Noel Parent, MDNorfolk Surgical Group, Virginia  Answer: Many endovascular abdominal aortic aneurysm (AAA) patients have calcified vessels. Depending on the...

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