6 step successful coding for endovascular aaa repair

Presented by Lori Dafoe, CPC

CPTChapter NotesCPT Assistant Articles

Laminated, color coded vascular chartsMedlearn/PanaceaMedical 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 + 1St Order Vessel (eg, renal artery) via different access points (Both legs): 36200 and 36245

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

Aortic Extender

Iliac 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?