Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2021. The coding advice may or may not be outdated.

33880 or 33881+ 37236 descending thoracic

Date: Nov 18, 2021

Question:

When a stent is placed in the subclavian, does this qualify as 33880 (involving subclavian)? Or, would this be 33881 and 37236?

"Bern catheter was removed over the Amplatz wire and the 38x100mm Terumo Relay thoracic aortic endograft was deployed antegrade in zone 2. Fenestration of the graft was created using #11 blade into the left subclavian artery dilated with a Sarot clamp and then Glidewire was inserted through the fenestration in the left subclavian artery and 11mmx39mm Gore VBX self or balloon expandable stent was deployed with 4mm of the stent jutting out of the fenestration made onto the thoracic aortic endograft. The mammary was 3.5cm away from the ostium. Next, a precurved 28mm Gelweave graft was then brought to the field, bevelled and sewn to the transverse arch in end-to-end configuration using a 3-0 Prolene suture in running continuous fashion. This anastomosis was reinforced circumferentially using multiple pledgeted 3-0 Prolene suture in a horizontal mattress fashion."

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!