2025 CPT code 34839
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Fenestrated Endovascular Repair Procedures Surgical Procedures on Arteries and Veins Feed
Physician planning for a patient-specific fenestrated visceral aortic endograft, requiring at least 90 minutes of physician time.
Modifiers may apply depending on the specific circumstances of the procedure; consult the official CPT manual and payer guidelines.
Medical necessity for this code is established by the presence of a complex abdominal aortic aneurysm requiring a fenestrated endograft for repair. The patient's anatomy must be such that a standard endograft is not sufficient for preserving blood flow to the visceral arteries.
The physician's responsibility includes reviewing high-resolution imaging (CT, CTA, MRI), utilizing 3D software for precise modeling of the aorta, and ensuring the graft design accurately accounts for individual patient anatomy and blood flow dynamics.
- Surgical Procedures on Arteries and Veins
- Surgical Procedures on Arteries and Veins; Fenestrated Endovascular Repair Procedures
In simple words: This code covers the doctor's time spent planning a specialized graft for a complex aortic repair.The doctor uses detailed images and computer software to design the perfect fit for the patient, making sure blood flow is maintained. This planning process takes at least 90 minutes.
This CPT code (34839) represents the physician's work in planning and sizing a patient-specific fenestrated visceral aortic endograft.This involves a comprehensive review of high-resolution cross-sectional imaging (CT, CTA, MRI) and the use of 3D software for iterative modeling of the aorta and device in multiple planes.The process includes a centerline flow analysis.A minimum of 90 minutes of physician time is required for reporting this code; this time does not need to be continuous but must be clearly documented. The code is reported on the date the planning is completed, excluding time spent on the day before or the day of the fenestrated endovascular repair procedure (codes 34841-34848).
Example 1: A 70-year-old male patient presents with a complex abdominal aortic aneurysm involving the visceral arteries. The physician spends 95 minutes using 3D imaging and software to plan a fenestrated endograft tailored to the patient’s unique anatomy. Code 34839 is reported., A 65-year-old female patient with a history of hypertension and chronic kidney disease requires a fenestrated endovascular aneurysm repair. The physician spends 105 minutes planning the procedure, ensuring appropriate fenestration placement to preserve renal and visceral artery perfusion. Code 34839 is reported., An 80-year-old male patient presents with a ruptured abdominal aortic aneurysm.Due to the complexity and urgency of the case, the physician employs advanced imaging techniques and 3D modeling to ensure proper sizing and placement of a fenestrated endograft for optimal post-operative outcomes.The physician documents 110 minutes dedicated to pre-operative planning. Code 34839 is reported.
Detailed documentation should include the date and time spent on planning, the imaging modality used (CT, CTA, MRI), software used for 3D modeling, specific measurements obtained,and a description of the planned graft design, including fenestration placement and size. The documentation must clearly demonstrate the physician spent at least 90 minutes on this planning process.
** This code is specifically for physician planning and does not encompass any other aspects of the fenestrated endovascular repair procedure.Thorough documentation is crucial for appropriate reimbursement.
- Revenue Code: P1G (Major Procedure - Other)
- RVU: This information is not provided in the source data and requires reference to a specific fee schedule and payer guidelines.
- Global Days: Not applicable; this code represents planning, not the surgical procedure itself.
- Payment Status: Active
- Modifier TC rule: Not applicable. This code refers to physician work in planning the procedure.
- Fee Schedule: This information requires reference to specific historical fee schedules; consult payer guidelines for the relevant time period.
- Specialties:Vascular Surgery
- Place of Service:Office, Hospital Outpatient