Ask Dr. Z

Patient has an infrarenal AAA with type 2 endoleak. Bifurcated endograft is in place. Patient goes for a CTA abdomen for identifying the endoleak. Patient in prone position and CT fluoro used to advance the needle into the posterior aspect of the sac near the site of the endoleak. Bentson wire advanced into the aneurysm sac. After "successful placement of access system into the aneurysm sac" the patient goes to IR suite for coil embolization. Kumpe cath advanced into the aneurysm and coil embolization with follow up images obtained. I found Q&A 2182 that appears to be a similar but different sort of scenario. I don't think there is anything to code for the access in this case, but wanted to get your opinion. Very unusual access I've never seen before. Thanks Dr Z.