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Explant of prior EVAR w/ Open AAA Repair

Date: Feb 15, 2024

Question:

If a patient had a history of EVAR several years earlier and now presents with enlarging aortic aneurysm, are we able to report 34830/34831/34832? The surgeon believes that these codes are only use if EVAR is attempted and failed on the same day and open repair is ultimately performed. If that's true, would we just use the open aneurysm repair code? I don't believe we would be able to code for the EVAR explant, since it was not infected? Can you please weigh in? 

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