Ask Dr. Z

We have a report that documents placement of two bifurcated grafts - please see below. How should this be coded? "Patient has a 5 cm AAA and right and left iliac aneurysms. Abdominal angio was done. After careful measuring of the aortic and internal iliac artery dimensions, the bifurcated component that is to be deployed in the left common iliac artery was prepared. This consisted of partially unsheathing of the 23 x 13 x 124 mm Endurant II Stent Graft System and removing the suprarenal fixation prongs. This graft was successfully deployed in the left iliac. They then deployed a Viabahn and ICasgt stent in the left internal iliac. Next the main body of the bifurcated modular Endurant II AAA stent graft (measuring 25 x 16 x 166 mm) was advanced into the abdominal aorta. This one was deployed in the aorta. Next, attention was made to bridge the main body of the bifurcated graft with the bifurcated graft placed in the left common iliac artery."  They used an iliac limb graft and a stent graft in the right iliac. Thanks for your help!