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Code for visceral aorta bare-metal dissection stent w/TEVAR

Date: Jul 25, 2022

Question:

"Thoracoabdominal Type B 2,10 aortic dissection extends from L carotid to iliac bifurcation bilateral. Dissection flap impedes flow to L renal artery. Initial TEVAR device deployed just distal to L subclavian. Second device deployed proximal and landed just distal to L common carotid covering L vertebral (anomalous origin) and L subclavian. Laser fenestration of proximal TEVAR device via brachial approach, with L subclavian stent placement. Decision to place an additional Cook dissection stent graft. ZDEG advanced from the right groin, deployed with approx. 5 cm overlap with prior stent, landed with distal extent approx. 6 cm above celiac axis. Next, Cook bare-metal dissection stent advanced to more distal TEVAR stent graft and deployed through the visceral segment with 1 stent overlap, landed just above the aortic bifurcation. Aortogram demonstrates robust flow within the celiac, SMA, bilateral renals, improved flow of bilateral iliacs and hypogastrics." 

Is stent placed in visceral aorta for flap included in code 33880, or is code 34701 supported?

Question ID : 17503
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