Ask Dr. Z

Last year, I'm thinking we could have used 0078T/0079T for visceral extensions. But now they have changed to fenestrated graft CPT codes. What can we use now to show a Viabahn graft to repair the celiac during a TEVAR? Could you code this out for us? "Percutaneous endovascular repair of the 5.5 cm descending thoracic aortic aneurysm using a Gore TAG grafts (45 mm x 15 cm and 45 mm x 10 cm x2) placed from the level of the mid descending thoracic aorta to just above the superior mesenteric artery. Snorkel reconstruction/repair of the celiac axis using an 8 mm x 10 cm in length Gore Viabahn graft. Selective cannulation of the celiac axis with selective angiography before after placement of the Gore Viabahn graft. Percutaneous access left brachial artery. Application of the Aptus Endostaple X 4 at the distal attachment site to seal leak at this area."