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37242 with EVAR

Date: Jul 28, 2021

Question:

I am in a debate with my physician. He placed an EVAR (34705), then used a catheter to go between the EVAR graft and the blood vessel wall to access the AAA sac and deploy embolization coils. He thinks we should bill codes 34705 and 37242, while I think we should bill code 34705-22. His reason is the EVAR does not include embolization. My reason is I believe the AAA sac is in the treatment zone. He did not access the internal iliac, but used the common iliac to slide up the outside of the EVAR graft to access the sac. What do you think we should bill and why?

Question ID : 15794
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