1. science
2. medicine
3. surgery

ENDOVASCULAR
AAA AAA
REPAIR
CODINGCODING
GUIDE GUIDE
ENDOVASCULAR
REPAIR
surgical
surgicalexposure
exposureof
ofartery
artery
Openfemoral
femoralexposure
exposure
Open
Openiliac
iliacexposure
exposure
Open
Openiliac
iliacexposure
exposurewith
withcreation
creationofofconduit
conduit
Open
CPTcode
Code applicable
Applicablemodifiers*
modifiers*
cpt
34812
-50
34812
-50 -62
-62 -80
-80 -82
-82 -AS-AS
-50
-50 -62
-62 -80
-80 -82
-82 -AS-AS
-50
-50 -62
-62 -80
-80 -82
-82 -AS-AS
Open brachial exposure
34834
-50 -62 -80 -82 -AS
Open brachial exposure
34834
-50 -62 -80 -82 -AS
placement of wires/catheters/
placement
CPTcode
Code applicable
Applicablemodifiers*
modifiers*
sheaths of wires/catheters/sheaths cpt
Catheter/sheath
Catheter/sheathplacement
placementinto
intoaorta;
aorta;
36200
-50 —
— —— —— ——
36200
-50
nonselective
nonselective
Catheter/sheathplacement
placementinto
intorenals;
renals;
Catheter/sheath
36245
-50
36245
-50 —
— —— —— ——
selective
selective
placementand
anddeployment
deploymentof
of
placement
cpt
CPTcode
Code applicable
Applicablemodifiers*
modifiers*
endoluminalgraft
graft(elg)
(elg)
endoluminal
Endo
AAA
repair
with
modular
bifurcated
Endo AAA repair with modular bifurcated
34802
—
34802
— -62
-62 -80
-80 -82
-82 -AS-AS
device(1(1docking
dockinglimb)
limb)90-day
90-dayglobal
globalperiod
period
device
Rad.
S&I:repair
endowith
AAAmodular
repair bifurcated
75952-26
— — — — —
Endo
AAA
34803
— -62 -80 -82 -AS
device
(2 docking
90-day
global
period
Endo AAA
repair limbs)
with AUI
device;
90-day
34805
—
-62 -80 -82 -AS
globalAAA
period**
Endo
repair with AUI device;
34805
— -62 -80 -82 -AS
90-day
period**
Rad. global
S&I: endo
AAA repair
75952-26
— — — — —
Rad. S&I: endo
AAA repair
75952-26
— -62
— -80
— -82— -AS—
Extension
prosthesis;
initial vessel
34825
—
Extension
vessel
Rad. S&I:prosthesis;
extensioninitial
prosthesis
Extensionprosthesis;
prosthesis;each
eachadditional
additionalvessel
vessel
Extension
Rad.S&I:
S&I:extension
extensionprosthesis
prosthesis
Rad.
ancillary procedures
ancillary procedures
IVUS noncoronary
IVUS noncoronary
Rad. S&I: IVUS noncoronary
Rad. S&I: IVUS noncoronary
IVUS noncoronary, additional vessel
IVUS noncoronary, additional vessel
Rad S&I: IVUS noncoronary
Rad S&I: IVUS noncoronary
Embolization/coiling
Arterial embolization or coiling
Rad. S&I: embolization/coiling
(non-hemorrhage
or tumor)
Rad. S&I: follow-up
Non-coronary
arterial study
stent, initial artery
Noncoronary vascular
stent:add’l
open,artery
initial
Non-coronary
arterial stent,
vessel
Placement
sensor in aneurysmal
sac each
Rad. S&I:of
noncoronary
vascular stent;
vesseliliac artery occlusive device
Endo
Placement
of sensorgraft
in aneurysmal sac
Fem-fem
prosthetic
EndoIAA
iliacrepair
arterywith
occlusive
device
Endo
prosthesis
Fem-fem
prosthetic
graft
Rad S&I: endo IAA repair
Endo IAA
repair
withdirect,
prosthesis
Repair
blood
vessel,
lower extremity
Rad S&I: endo IAA repair
Thromboedarterectomy,
incl. patch graft,
common
femoral
Repair blood
vessel, direct, lower extremity
34820
34820
34833
34833
34825
75953-26
—
—
-62 —
-80 —-82 —-AS
—
34826
—
34826
— -62
-62 -80
-80 -82
-82 -AS-AS
75953-26
—
75953-26
— —
— —— —— ——
cpt code applicable modifiers*
CPT Code Applicable modifiers*
37250
— — — — —
37250
—
—
—
—
—
75945-26
— — — — —
75945-26
—
—
—
—
—
37251
— — — — —
37251
—
—
—
—
—
75946-26
— — — — —
75946-26
—
—
—
—
—
37204
— — — — —
37242
— —
— ——
—
—
75894-26
—
75898-26
37236
—
—
37237
37207
34806
75960-26
34808
34806
34813
—
-50
—
—
—
—
—
34808
34900
34813
75954-26
34900
35226
75954-26
35371
35226
—
— —
-80
— -80
—
-62
-62 -80
— —
-62 -80
-62
-62 -80
-80
—
-62
-50 -62 -80
-80
—
— -62
— -80
—
-82
—
-82— -AS—
-82 -AS
— —
-82 -AS
-82
-82 -AS-AS
-82
-82 -AS-AS
-82— -AS—
-50
-50 -62
-62 -80
-80 -82
-82 -AS-AS
— — — — —
-50 -62 -80 -82 -AS
-50 -62 -80 -82 -AS
physician name:
PHYSICIAN
NAME:
date of service:
patient
name:
DATE
OF SERVICE:
open surgical
cpt code
PATIENT
NAME: salvage
Open repair endo salvage; tube prosthesis
34830
Open repair endo salvage; aorto-bi-iliac
34831
prosthesis
open
surgical salvage
CPT Code
Open repair
repair endo
endo salvage;
salvage; tube
aorto-bifemoral
Open
prosthesis
34830
34832
prosthesis
Open repair endo salvage; aorto-bi-iliac
34831
prosthesis
principal diagnosis
Open repair endo salvage; aorto-bifemoral
34832
441.4 - Abdominal aneurysm without mention of rupture
prosthesis
applicable modifiers*
— -62 — — —
— -62 — — —
Applicable modifiers*
—— -62
-62 -80
— —
— -AS
—
—
-62
-80
—
-AS
—
-62
-80
—
-AS
secondary diagnosis
Principal diagnosis
441.4 - Abdominal aneurysm without mention of rupture
modifier description
secondary
diagnosis
Professional component
Bilateral procedure
Multiple procedures (50% reduction)
Distinct procedure service
Cosurgeons:DESCRIPTION
separate group and specialty (62.5%)
MODIFIER
Return to OR for related proc during post-op period
Professional component
Return to OR for unrelated proc during post-op period
Bilateral
procedure
Assistant surgeon (16%)
Multiple
(50% reduction)
Assistant procedures
surgeon (resident
surgeon unavailable)
Distinct
procedure (non-physician
service
Assistant-at-surgery
practitioner)
(85% of 16%) separate group and specialty (62.5%)
Cosurgeons:
Return to OR for related proc during post-op period
Return to OR for unrelated proc during post-op period
Assistant surgeon (16%)
Assistant surgeon (resident surgeon unavailable)
Assistant-at-surgery (non-physician practitioner) (85% of 16%)
*Other coding modifiers may apply.
** The placement of an iliac limb may or may not be included with 34805.
Please contact our Reimbursement team at 877-347-9662 for any questions.
*Other coding modifiers may apply.
These suggestions do not replace seeking coding advice from the payer and/
** The placement of an iliac limb may or may not be included with 34805.
or your coding staff. The provider of services is ultimately responsible for
Please contact our Reimbursement team at 877-347-9662 for any questions.
correct coding.
These suggestions do not replace seeking coding advice from the payer and/or your coding staff.
CPT® is a trademark
of for
thecorrect
American
Medical Association.
The provider of services is ultimately
responsible
coding.
© 2013 Medtronic, Inc. All rights reserved. Printed in USA. UC201103426aEN 4/13
-26
-50
-51
-59
-62
-78
-26
-79
-50
-80
-51
-82
-59
-62
-78
-79
-80
-82
-AS
-AS
t.
bsequent
attendant problems (e.g., confusion,
mic attack, paraplegia, paraparesis, paralysis);
erials.
native vessel; pulmonary complications and
repair;
vascular access
site complications, including infection, pain,
problems; renal
complications
and subseems (e.g., artery occlusion, contrast toxicity,
-
AAA
REPAIR
CODING
physician name:
that ENDOVASCULAR
cular spasm or
vascular
trauma
(e.g.,GUIDE
iliofemoral vessel dissection,
nt deployment;
component
suture
surgical
exposuremigration;
of artery
cpt code applicable modifiers*
sess
bleeding, rupture, death); vessel damage;
wound complications and date of service:
tion; stent
fracture;
graft
twisting
and/or kink- Stent
Open
femoral
exposure
34812
-82 -AS
Endurant®
II Abdominal
Graft-50 -62 -80Endurant®
IIs Stent Graft
stent
subsequent attendant problems (eg, dehiscence, infection, hemapatient name:
Open iliac exposure
34820
-50 -62 -80 -82 -AS
toma, seroma, cellulitis).
Open iliac exposure with creation of conduit
34833
-50 -62 -80 -82 -AS
site complications,
including infection,
pain,
sproduct
Instructions
for Use
more
OpenPlease
brachial reference
exposure
34834
-50for-62
-80information
-82 -AS
regarding
indications, warnings,
precautions,
contraindications
and
placement
of wires/catheters/
cpt code applicable modifiers*
ar trauma
(e.g., iliofemoral vessel dissection,
sheaths
adverse
events.
th); vessel
damage; wound
complications
Catheter/sheath
placement
into aorta; and
36200
-50 — — — —
34802:
nonselective
problems
(eg,
dehiscence,
infection,
hemaCAUTION:
Federal
(USA)
law restricts
this device
to sale by or on the
Bifurcated
graft
Catheter/sheath
placement
into renals;
s).
to
order
of
a
physician.
36245
-50 — — — —
selective
and docking limb
uct Instructions for Use for more information
placement and deployment of
cpt code applicable modifiers*
warnings,
precautions,
contraindications
and
endoluminal graft (elg)
ents
AAA repair with modular bifurcated
sary Endo
device (1 this
docking
limb)
SA) law restricts
device
to90-day
sale byglobal
or onperiod
the
es as Rad. S&I: endo AAA repair
ast
dined
es
r to
ated
ned
s
rmam
se.
:
t
ture
ding,
Endo AAA repair with AUI device; 90-day
global period**
Rad. S&I: endo AAA repair
34802
—
-62
-80
-82
-AS
75952-26
—
—
—
—
—
34805
—
-62
-80
-82
-AS
75952-26
—
—
—
—
—
Extension prosthesis; initial vessel
34825
—
-62
-80
-82
-AS
Rad. S&I: extension prosthesis
75953-26
—
—
—
—
—
34826
—
-62
-80
-82
-AS
Extension prosthesis; each additional vessel
Rad. S&I: extension prosthesis
ancillary procedures
IVUS noncoronary
Rad. S&I: IVUS noncoronary
IVUS noncoronary, additional vessel
Rad S&I: IVUS noncoronary
Embolization/coiling
Rad. S&I: embolization/coiling
www.medtronic.com
Rad.
S&I: follow-up study
Noncoronary
vascular stent: open, initial
Medtronic
vessel3576 Unocal Place
Product
Services
Rad.
S&I:
noncoronary
Santa
Rosa,
CA 95403vascular stent; each
Tel: 888.283.7868
vessel
USA
Fax: 800.838.3103
Placement
of sensor
in aneurysmal sac
Tel: 707.525.0111
Reimbursement
Information
75953-26
— — — — —
cpt code applicable modifiers*
37250
— — — — —
75945-26
—
—
—
—
—
37251
—
—
—
—
—
75946-26
—
—
—
—
—
—
—
-82
-AS
37204
—
—
—
75894-26
—
—
—
75898-26
—
—
—
Product Services
37207
-50 -62 -80
Tel: 888.283.7868
Fax:75960-26
800.838.3103 — —
—
Reimbursement Information
34806 877.347.9662
— -62 -80
Telephone:
—
—
-82
-AS
open surgical salvage
Open repair endo salvage; tube prosthesis
Open repair endo salvage; aorto-bi-iliac
prosthesis
34803:
Open repair endo salvage;
aorto-bifemoral
prosthesis
Bifurcated graft
Endurant® II AUI
cpt code applicable modifiers*
34830
— -62 — — —
and docking limbs
34831
34832
—
-62
—
34805:
-62 — — —
AUI graft
—
—
principal diagnosis
441.4 - Abdominal aneurysm without mention of rupture
secondary diagnosis
modifier description
Professional component
Bilateral procedure
Multiple procedures (50% reduction)
Distinct procedure service
Cosurgeons: separate group and specialty (62.5%)
Return to OR for related proc during post-op period
Return to OR for unrelated proc during post-op period
Assistant surgeon (16%)
Assistant surgeon (resident surgeon unavailable)
Extensions
Assistant-at-surgery (non-physician
practitioner)
(85% of 16%)
34825/34826:
Aortic Extension,
Iliac Extensions
Placement of proximal
or distal extensions,
*Other coding modifiers may apply. initial vessel/
each additional vessel.
** The placement of an iliac limb may or may not be included with 34805.
Telephone:
877.347.9662
Endo
iliac artery
occlusive device
34808
—
-62
-80
-82
-AS
Fem-fem prosthetic graft
34813
—
-62
-80
-82
-AS
Please contact our Reimbursement team at 877-347-9662 for any questions.
34900
-50
-62
-80
-82
-AS
75954-26
—
—
—
—
—
These suggestions do not replace seeking coding advice from the payer and/
or your coding staff. The provider of services is ultimately responsible for
correct coding.
Endo IAA repair with prosthesis
Rad S&I: endo IAA repair
CPT® is a trademark of the American Medical Association.
CPT® is a trademark of the American Medical Association.
Repair All
blood
vessel, direct,
lower
-50 Printed
-62 in-80
-82 -AS
in
USA
only.extremity
©Medical
2014 Medtronic,
inc.35226
All rights reserved.
USA UC201103425bEN
9/14
© 2014 Medtronic, inc.
rights
reserved. Printed
in USA
UC201103425bEN
9/14
CPT®For
is adistribution
trademark
ofthe
the
American
Association.
10168446DOC © Medtronic, Inc. 2014 All rights reserved. Printed in USA. 10/14
—
CPT® is a trademark of the American Medical Association.
© 2013 Medtronic, Inc. All rights reserved. Printed in USA. UC201103426aEN 4/13
-26
-50
-51
-59
-62
-78
-79
-80
-82
-AS
• Patients who have a condition that threatens to infect the graft.
• Aortic neck diameters with a range of 19 to 32 mm
• Patients with known
sensitivities or allergies to the device materials.
•
Warnings and Precautions
• Iliac diameters with a range of 8 to 25 mm
• Morphology suitable for aneurysm repair
•
ENDOVASCULAR
AAA
REPAIR
CODING
GUIDEshould be advised that
Endurant® II/Endurant®
IIs Stent Graft
Contraindications
System
has
not
been
established.
AllSystem
patients
Indications
surgical
exposure
of
artery
cpt
code isapplicable
modifiers*
The Endurant
II Stent
Graftgraft
System
contraindicated
in:
endovascular
treatment
requires
lifelong,
regular
follow-up
to assess
The Endurant®
II/Endurant®
IIs bifurcated
stent
is indicated
for the endovascular
Open
femoral
exposure
34812
-50
-62
-80
-82 -AS
treatment
of infrarenal
abdominal
aorto-iliac
aneurysms.
The to
Endurant
Patients
who aortic
have
aorcondition
that
threatens
infect
the graft.
the health
and
the• performance
of the
implanted
endovascular
stent
complications and subsequent attendant problems (e.g., confusion,
stroke, transient ischemic attack, paraplegia, paraparesis, paralysis);
occlusion of device or native vessel; pulmonary complications and
repair; subsequent
vascular access
siteproblems;
complications,
including infection,
attendant
renal complications
and subse- pain,
quent attendant problems (e.g., artery occlusion, contrast toxicity,
Adverse
Events
physician
name:
cular
spasm
or
vascular
trauma
(e.g.,
iliofemoral
vessel
dissection,
Potentialincomplete
adverse events
include (arranged
in alphabetical
order):
amputation;
deployment;
component
migration;
suture
date ofcomplications
service:
bleeding,
rupture,component
death);
vessel
damage;
wound(e.g.,
complications
and
anesthetic
and subsequent
attendant problems
break; occlusion; infection; stent fracture; graft twisting aspiration),
and/or kinkaneurysm
enlargement;
aneurysm
rupture
and
death;
aortic
damage,
subsequent
attendant
problems
(eg,
dehiscence,
infection,
hemapatient name:
Open
iliac exposure (AUI) stent graft is indicated for
34820
-50 -62treatment
-80 -82
II aorto-uni-iliac
the endovascular
of -ASmaterials.
including perforation, dissection, bleeding, rupture and death; arterial or
• Patients with known sensitivities
or allergies
to the device
toma, thrombosis
seroma, cellulitis).
infrarenal
abdominal
aortic orofaortoiliac
anatomy
venous
and/or pseudoaneurysm; arteriovenous fistula; bleeding,
Open
iliac exposure
with creation
conduit aneurysms
34833in patients
-50 whose
-62 -80
-82 does
-AS
Warnings
and
Precautions
open
surgical
salvage
cpt
code
modifiers*
not allowor
thechanges
use of
a bifurcated
stent
graft. The
Endurant
II/Endurant
IIs stent graft
vascular
access
site
complications,
including
infection,
pain,
hematoma
or coagulopathy;
bowel
complications
(e.g.,
ileus,
transient
ischemia,
aneurysms
in
the
structure
or
position
of
the
endovasPlease repair;
reference
product
Instructions
for
Use
forapplicable
more
information
Open brachial exposure
34834
-50 -62 -80 -82 -AS
system is indicated• for use in patients with the following characteristics:
infarction,
necrosis);
cardiactube
complications
Open repair
endo salvage;
prosthesis and subsequent
34830 attendant
— -62problems
— —
—
regarding
indications,
warnings,
precautions,
contraindications
and
placement of wires/catheters/
(e.g.,
arrhythmia,
myocardial
infarction,
congestive
heart failure,
hypotension,
cpt code with
modifiers*
System hasaccess
not been
Allapplicable
patients
be advised that
cularendo
spasm
or vascular
trauma
(e.g., iliofemoral
vessel
dissection,
Open
repair
salvage;
aorto-bi-iliac
• Adequate
iliac/femoral
that isestablished.
compatible
vascular should
access
sheaths
34831
—
-62
—
—
guidelines
are
described
in
the
Instructions
for
Use.
hypertension);
claudication (e.g., buttock, lower limb); death; edema; embolization —
adverse
events.
prosthesis
techniques,
devices
and/or
endovascular
treatment requires lifelong, regular follow-up to assess
bleeding,
rupture, death); vessel damage; wound complications and
Catheter/sheath
placement
into
aorta;accessories
(micro
and
macro)
with transient
or permanent ischemia or infarction; endoleak;
36200
-50
—
—
—
—
Open repair
endo
salvage;
aorto-bifemoral
• Proximal neck
length
of ≥10
• nonselective
the
health
and mm
the performance of the implanted endovascular stent
subsequent
attendant
problems
(eg,complications
dehiscence,
infection,
hemaCAUTION:
Federal
(USA)
law
restricts
this
device—
to sale
on the
34832
-62 by
— or —
—
fever
and
localized
inflammation;
genitourinary
and
subsequent
prosthesis
•
Infrarenal
neck
angulation
of
≤60°
Catheter/sheath
placementand
into renals;
toma,
seroma,
cellulitis).
aneurysm
expansion,
persistent
endoleaks
may
be
required
to
attendant
problems
(e.g.,
ischemia,
erosion,
femoral-femoral
artery
thrombosis,
order
of
a
physician.
36245
-50
—
—
—
—
•
Aortic
neck
diameters
with
a
range
of
19
to
32
mm
selective
incontinence,
hematuria,
infection);
hepaticfor
failure;
impotence;
infection of
aneurysms
changes
in the structure
or position of the endovas- fistula,
Please
reference
product
Instructions
Use for
more information
undergo
secondary
interventions
or surgical
procedures.
• Distal
fixation
length(s)
ofor
≥15
mm
principal
diagnosis
placement
and
deployment
of
the aneurysm,
device
access site,warnings,
including abscess
formation,
transient fever and
and
cpt
code
applicable
modifiers*
•
Iliac
diameters
with
a
range
of
8
to
25
mm
regarding
indications,
precautions,
contraindications
441.4 - Abdominal aneurysm without mention of rupture
graft
(elg)
• endoluminal
The Endurant
II Stent
Graftaneurysm
System
is not
recommended
in patients
pain;
lymphatic complications and subsequent attendant problems (e.g., lymph
described
in the
Instructions for Use.
• Morphologyguidelines
suitable forare
repair
adverse
events.
secondary
diagnosis
Endo AAA
with modular
bifurcated
fistula);
neurologic
local or systemic complications and subsequent attendant
unable
torepair
undergo
or who
will not be compliant
with-62the-80
necessary
34802
—
-82 -AS
device
(1 docking limb)• 90-day global period
Contraindications
Federal
(USA)
law restricts
thisattack,
device
to sale byparaparesis,
or on the
problemsCAUTION:
(e.g., confusion,
stroke,
transient
ischemic
paraplegia,
preoperative
and
postoperative
imaging
and
implantation
studies
as
TheS&I:
Endurant
II/Endurant
IIs Stent
Graft System
is contraindicated
aneurysm
expansion,
and
persistent
endoleaks
may be
toparalysis);order
occlusion
of device or native vessel; pulmonary complications and
Rad.
endo AAA
repair
75952-26
—
—in: —
— required
—
of a physician.
• Patients
whoundergo
have a condition
thatinterventions
threatens to infect
the graft.
subsequent attendant problems; renal complications and subsequent attendant
or surgical
procedures.
described
in the
for Use.
Endo AAA repair
withInstructions
AUI device; secondary
90-day
34805
— -62
-80 -82 -AS
period**
• Patients with known sensitivities or allergies
to the device
materials.
modifier(e.g.,
description
problems
artery occlusion, contrast toxicity, insufficiency, failure); stent graft:
global
•
The
Endurant
II
Stent
Graft
System
is
not
recommended
in
patients
• Renal
complications
may occur: 1) From an excess use of contrast
improper
component
Professional
componentplacement; incomplete component deployment; component -26
Warnings
and
Precautions
Rad.
S&I: endo
AAA
repair
75952-26
—
—
—
—
—
unable to undergo or who will not be compliant with the necessary
migration;
suture break; occlusion; infection; stent fracture; graft twisting and/
agents.
Aslong-term
a result
of
emboli
or a misplaced
stent
graft.
The
radiBilateral procedure
-50
•2)The
safety
and effectiveness
of the Endurant
II/Endurant
IIs Stent
Extension prosthesis; initial
vessel
34825 imaging
— and
-62 implantation
-80 -82 -ASstudies or
preoperative
and postoperative
as
kinking;
insertion(50%
and reduction)
removal difficulties; graft material wear; dilatation;
Graft
System
has not
been
established.
All patients
should
be advised
that
Multiple
procedures
-51
opaque
marker
along
the
edge
of
the
stent
graft
should
be
aligned
described
the Instructions
for Use.
Rad. S&I:endovascular
extension prosthesis
75953-26
— —
— the
—health
—
erosion;
puncture and perigraft flow; surgical conversion to open repair; vascular
treatmentin
requires
lifelong,
regular
follow-up
to assess
Distinct procedure service
-59
immediately
below
the
lower-most
renal
arterial
site complications, including infection, pain, hematoma, pseudoaneurysm,
the
performance
of thevessel
implanted
endovascular
stent-62
graft.
Patients
with
Extension and
prosthesis;
each
additional
34826
—
-80
-82
-AS
• Renal
complications
may
occur:
1) origin.
From
an excess
use
of
contrastaccess
Cosurgeons: separate group and specialty (62.5%)
-62
arteriovenous
fistula,
dissection;
vascular
spasm
or
vascular
trauma
(e.g.,
iliofemoral
clinical
findings
(e.g.,
endoleaks,
enlarging
changes
in the
agents.
As
a result
emboli
or aaneurysms
misplaced
stent
graft.
The radi-vessel
• Studies
indicate
that
the2)danger
ofofmicro-embolization
Rad. S&I:specific
extension
prosthesis
75953-26
— — orincreases
—
—
—
Returndissection,
to OR for related
proc during
post-op
period
-78
bleeding,
rupture,
death);
vessel
damage;
wound
complications
structure or position of the endovascular graft) should receive enhanced followopaqueofmarker
along the
of the stent graftmodifiers*
should be alignedand
Return
to OR for unrelated
proc
during post-op
period
-79
ancillary
cptedge
code
with
increased
duration
the procedure.
subsequent
attendant
problems
(e.g., dehiscence,
infection, hematoma,
up. procedures
Specific
follow-up
guidelines
are described
in theapplicable
Instructions for Use.
Assistantcellulitis)
surgeon (16%)
-80
immediately
below
theflow
lower-most
renal
arterial
origin.
seroma,
IVUS noncoronary
37250
— graft
—limb,
—aneurysm
— —
•
P
atients
experiencing
reduced
blood
through
the
•
Assistant surgeon (resident surgeon unavailable)
-82
expansion,
and
persistent
endoleaks
may
be
required
to
undergo
secondary
•
Studies
indicate
that
the
danger
of
micro-embolization
increases
Rad. S&I: IVUS noncoronary
75945-26
— — — — —
Please reference product Instructions for Use for more information regarding
has not been
evaluated
in some
patientofpopulations.
Please refer to
Assistant-at-surgery
(non-physician
practitioner)
interventions
or surgical
procedures.
indications,
warnings,
precautions,
contraindications
and
adverse
events.
with
increased
duration
the
procedure.
-AS
IVUS noncoronary, additional vessel
37251
— — — — —
(85% of 16%)
• The Endurant
II/Endurant
IIs Stent
System is not recommended in
the product
Instructions
for Use
for Graft
details.
• to undergo
CAUTION: Federal (USA) law restricts this device to sale by or on the order of
Rad S&I:patients
IVUS noncoronary
— with
— the
— necessary
— —
unable
or who will75946-26
not be compliant
a physician.
has
been Non-clinical
evaluated
in37204
some
patient
MRI
Safety
and Compatibility:
testing
demonstrated
preoperative
andnot
postoperative
imaging
and
implantation
studies
Embolization/coiling
—haspopulations.
—
— as —Please
— refer to
the
product
Instructions
for
Use
for
details.
described
in
the
Instructions
for
Use.
thatRad.
theS&I:Endurant
II Stent Graft is MR Conditional.
embolization/coiling
75894-26
—It can
— be
—scanned
• Renal complications
mayand
occur:
1) From an excess
use of contrast
agents.
2) As
MRI
Safety
Compatibility:
Non-clinical
testing
www.medtronic.com
safely
& 3.0T
systems
certain
asdemonstrated
Rad.in
S&I:both
study
75898-26
— conditions
—
— has
afollow-up
result1.5T
of emboli
or aMR
misplaced
stentunder
graft.
The
radiopaque
marker
the
that the Endurant II Stent Graft is MR Conditional. Italong
can be
scanned
Noncoronary
vascular
stent:
open,
initial
Product Services
describededge
in the
product
for37207
Use. For-50additional
informaof the
stent graftInstructions
should be aligned
immediately
below
the
lower-most
-62 certain
-80
-82 -AS as Medtronic
www.medtronic.com
safely
in both 1.5T & 3.0T MR
systems under
conditions
vessel
renal
arterial
origin.
Tel: 888.283.7868
3576
Unocal
Place
tion regarding MRIdescribed
please refer
toproduct
the product
Instructions
foradditional
Use. informaProduct
Services
indanger
the
Instructions
forincreases
Use. For
Medtronic
S&I:
• Snoncoronary
tudies indicate
that the
of micro-embolization
with
Rad.
vascular
stent;
each
Fax:
800.838.3103
Santa Rosa,
CA 95403
75960-26
—
—
—
—
—
Tel: 888.283.7868
3576 Unocal Place
vessel
tion regarding
MRI please refer to the product Instructions for Use.USA
increased
of the procedure.
Adverse
Events duration
Reimbursement Information
Fax:apply.
800.838.3103
Santa Rosa, CA 95403
*Other coding modifiersTelephone:
may
• Tof
hesensor
safety in
and
effectiveness
II/Endurant
Stent
Graft-82
System
Placement
aneurysmal
sac of the Endurant
34806
— IIs
-62
-80
-AS
877.347.9662
Tel: 707.525.0111
Adverse
Events
Reimbursement
Information
USA
Potential
adverse
events
include
(arranged
in alphabetical
order):
has
not
been
evaluated
in
some
patient
populations.
Please
refer
to
the
Telephone:
877.347.9662
Tel:
707.525.0111
Endo iliac artery occlusive
device
34808
—
-62
-80
-82
-AS
**
The
placement
of
an
iliac
limb
may
or may not be included with 34805.
Potential
adverse
events
include
(arranged
in
alphabetical
order):
product
Instructions
for
Use
for
details.
amputation; anesthetic complications and subsequent attendant
Please contact our Reimbursement team at 877-347-9662 for any questions.
Fem-fem prosthetic graft
34813
— and-62
-80 -82 attendant
-AS
amputation; anesthetic complications
subsequent
MRI Safety
and
Compatibility
problems
(e.g.
aspiration),
aneurysm
enlargement;
aneurysm
rupture
These suggestions do not replace seeking coding advice from the payer and/
EndoNon-clinical
IAA repair with
prosthesis
-50
-62 IIs
-80Stent
-82Graft
-AS rupture
problems
(e.g. aspiration),
aneurysm
enlargement;
aneurysm
testing
has demonstrated
that the34900
Endurant II/Endurant
or your coding staff. The provider of services is ultimately responsible for
andRad
death;
aortic
damage,
including
perforation,
dissection,
bleeding,
and
death;
aortic safely
damage,
including
perforation,
S&I:Conditional.
endo IAA repair
—
—systems
—dissection,
— — bleeding,
is MR
It can
be scanned
in75954-26
both
1.5T & 3.0T
MR
under
correct coding.
certain
as described
in the product35226
Instructions-50
for Use. For
additional
Repair
bloodconditions
vessel, direct,
lower extremity
-62 -80
-82 -AS
information regarding MRI please refer to the product Instructions for Use.
CPT®
American
Medical
Association.
CPT®isis aa trademark
trademark ofof
thethe
American
Medical
Association.
CPT®
is a©trademark
of
the American
Medical
Association.
For distribution
in the USA
only.
2014
Medtronic,
inc.
AllAllrights
reserved.
Printed
inMedical
USA
UC201103425bEN
For distribution
in
the
USA
only.
© 2014
Medtronic,
rights
reserved.
in USA
UC201103425bEN
9/14 9/14
CPT® is
ainc.
trademark
of the Printed
American
Association.
© 2013 Medtronic, Inc. All rights reserved. Printed in USA. UC201103426aEN 4/13
10168446DOC © Medtronic, Inc. 2014 All rights reserved. Printed in USA. 10/14