Ask Dr. Z

I reported code 34703, but I'm not sure if that's correct. The note lists "unibody graft" for AAA. "An oblique incision was made on the right side, dissecting down to the site of the fem-fem graft through the previous scar. Once the external iliac arteries encircled with a loop, a micropuncture was used to access the vessel, and catheters were placed up into the aorta. There was noted to be plaque at the aortic bifurcation and the aorta. An angiogram was performed that showed where the renals were with a good neck. The patient was then heparinized. A 32 x 14 x 102 graft was deployed and brought up from the right side with some degree of difficulty. The device was released at the level of the renal arteries, which are approximately at the same level, and the top caps were released with good apposition here. Next, an angiogram was performed for the distal portion, and a 16 x 16 x 124 limb extension point was brought down to the hypogastric artery."