On Demand: Coding Concepts for EVAR/TEVAR/FEVAR-Webinar Recording

Video Transcription

Video Summary

The webinar focused on coding for aneurysm repairs, especially EVAR, FEVAR, TVAR, and related open surgical repairs. The presenter explained key coding rules, including the importance of identifying the access method (open vs. percutaneous), the treatment zone, and whether the repair involved ruptured or non-ruptured aneurysms. She emphasized that many services are bundled into the primary procedure, such as non-selective catheterization, radiological supervision, and some extensions, while others like IVUS, certain access procedures, and interventions outside the treatment zone may be separately billable.<br /><br />The session reviewed EVAR coding, including aortic tube, aorta-uni-iliac, and aorta-bi-iliac repairs, plus add-on codes for vessel access, conduits, iliac branch devices, and delayed extensions. FEVAR was covered in detail, including patient-specific planning code 34839, coding by number of visceral vessels treated, and examples involving renal artery stenting. TVAR instruction included updated thoracic branched endograft guidance, especially the new TBE device, along with what is included in the base codes and when delayed extensions or bypass/transposition codes apply.<br /><br />The presenter also reviewed open aneurysm repairs, such as abdominal, thoracoabdominal, arch, and Bentall procedures, plus case examples to illustrate code selection. She answered questions about modifiers, ultrasound guidance, and carrier-specific billing rules.

Keywords

EVAR

FEVAR

TVAR

aneurysm repair

open surgical repair

endovascular repair

aortic aneurysm

coding rules

access method

treatment zone

ruptured aneurysm

non-ruptured aneurysm