Ask Dr. Z

We are have difficulty determining the correct CPT code(s) to use for this right iliac aneurysm repair. Could you help us decipher if this is a stent, stent graft, endograft, embolization, other? What CPT codes are assigned?

"Left common femoral access. Anterior and posterior divisions of the internal iliac artery were cannulated and then embolized with 8 mm and 12 mm Amplatzer plugs respectively. A 12 French Gore dry seal sheath was introduced and advanced into the right iliac system. A pigtail catheter was used for measurements, and a 18mm x 11 1/2 cm Gore iliac extender was used to occlude the origin of the internal iliac artery extending from the distal external iliac artery to the proximal common iliac artery. It was post-dilated with a balloon. Completion angiogram demonstrated no filling of the internal iliac artery aneurysm. The Amplatzer plugs placed in the anterior and posterior divisions were noted to be occlusive."