tci Part B Insider - 2015 Issue 21

Reader Questions: Code Endoleak With These Quick Tips

Question: The patient had endovascular repair of a descending thoracic aorta aneurysm in May 2014. I need to code a March 2015 repair of an endoleak. How should I report placement of a proximal extension prosthesis in the descending thoracic aorta that the cardiologist places using a balloon to seat under radiological guidance? Which ICD-9 and ICD-10 codes apply to an endoleak? Answer: Report the extension placement using 33883 (Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta [e.g., aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption]; initial extension). You may report the...

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