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

Webinar Slides

Pdf Summary

This presentation provides coding guidance for endovascular and open aneurysm repairs, focusing on EVAR, FEVAR, and TEVAR. It explains how to identify the treatment zone, distinguish ruptured versus non-ruptured repairs, and recognize what services are included versus separately billable. Key coding areas include access procedures, catheter placements, imaging supervision, vessel extensions, and related adjunctive services.<br /><br />For EVAR, the slides cover codes for aorto-aortic, aorto-uni-iliac, and aorto-bi-iliac repairs, plus extension add-on codes and delayed extensions. They note that documentation must clearly show the anatomy treated and whether repairs involve open or percutaneous access, rupture status, and any decompressive laparotomy. Vessel access codes such as 34713-34716, 34812, 34820, 34833, and 34834 may be separately reported, while modifiers and Medicare units should be used carefully.<br /><br />FEVAR guidance includes physician planning code 34839 for patient-specific graft planning, fenestrated graft repair codes 34841-34848, and separately reportable services such as IVUS, selective catheterization outside the treatment zone, and distal extensions into iliac or femoral vessels.<br /><br />TEVAR sections explain descending thoracic aortic repair codes 33880-33883 and thoracic branched endograft code 33882, including what is bundled into the procedure and what can be reported separately, such as vascular access or certain bypass procedures.<br /><br />The presentation also reviews open repair codes for thoracic and abdominal aneurysms, including Bentall, hemiarch, transverse arch, descending thoracic, thoracoabdominal, and open AAA repair. Multiple case examples demonstrate code selection for complex scenarios involving combined procedures, access creation, IVUS, transposition, and branched endografts.<br /><br />Overall, the presentation emphasizes accurate anatomy-based coding, careful review of operative documentation, and awareness of bundled versus separately billable services.

Keywords

EVAR

FEVAR

TEVAR

aneurysm repair

vascular coding

endovascular repair

open repair

catheterization

imaging supervision

separately billable services