Vascular stenting, new codes were developed that bundle the surgical and duke nukem mp patch radiologic portions of stent procedures into a single code.
Coding 34841: Endovascular repair of the visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis.
Intrathoracic common carotid/ innominate stent placement.
Percutaneous abscess/fluid collection drainage, four new codes are being introduced to describe percutaneous drainage of fluid collections.
Selective catheterization of the aorta and visceral arteries, stenting of any visceral vessels, and the radiologic supervision and interpretation are all included in the work of the fevar codes (and not separately reported as they are with the other abdominal and thoracic evar codes).Placement of a proximal extension or cuff is not reported separately with the fevar codes, but distal extensions or cuffs may be separately reported.These codes do not include the work of selective catheterization of the vessel(s) embolized, diagnostic angiography if performed, ultrasound guidance for vessel access, or the work of handling and dosing chemotherapy or radiotherapy.The imaging guidance may be fluoroscopy, ultrasound, computed tomography, magnetic resonance imaging, or any combination of those modalities.
In addition, ultrasound guidance for vessel puncture and intravascular ultrasound are not included in the work of these codes.
Those services may be separately reported when performed.
These codes replace the former set of codes that included organ-specific descriptors and are designed to apply to drainage procedures for all types of fluid collections rather than specifically for abscesses.
The arterial stent codes apply to any artery that does not have an anatomy-specific CPT code (carotid, iliac and infrainguinal, intracranial, coronary, and vertebral arteries have specific stent placement codes).Moderate sedation is included in these codes.She has disclosed that she has no financial interests that pertain to this topic.These codes bundle the surgical procedure with all imaging guidance used for the procedure into single codes.This code includes the work of the open exposure, selective catheter placement, all angioplasty performed, stent placement, and all imaging guidance.