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Ruptured Iliac artery aneurysm

Date: Jul 18, 2022

Question:

Patient has a ruptured Iliac aneurysm. Provider performed the following:

1. Bilateral ultrasound-guided common femoral artery access (16 French sheath in the bilateral groins, Perclose x 2 in the bilateral groins).

2. Iliac branch endoprosthesis (IBE) with a 23 mm x 10 mm x 10 cm main body device.

3. Extension of the left internal iliac artery with a GORE IBE limb 16 mm x 12 mm x 7 cm extension piece, extended distally with a 13.5 x 5 cm Viabahn to the bifurcation of the anterior and posterior trunks.

4. Extension of the proximal component within the proximal right common iliac artery using a 23 mm x 3.3 cm GORE EXCLUDER main body extension.

Should this be coded as 34708, 34709, 34713-50? How would you code this?

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