Ask Dr. Z

How would this procedure be coded for the hospital? Since there is no aortic aneurysm, would this be reported with only code 34705? Or would this be reported with code 34718? Or both 34705 and 34717?

"Patient with left common iliac artery aneurysm only. Gore iliac branch endograft was deployed with limb just above iliac bifurcation. A Gore limb was then deployed with maximal overlap on the iliac branch endograft into the internal iliac artery. This extended down with a VBX to the iliac bifurcation. The external iliac limb was then deployed. The main body was advanced up the right side. Landed just below the left renal artery. A bridging limb was deployed from the contralateral limb into the iliac branch endograft with maximum overlap on both sides. The remainder of the main body down the right limb was deployed. We extended the right side down with a distal bell bottom."