2025 CPT code 34841
(Active) Effective Date: N/A Revision Date: N/A Vascular Surgery - Endovascular repair of abdominal aortic aneurysm Surgery Feed
Endovascular repair of the visceral aorta using a fenestrated endograft, including one visceral artery endoprosthesis.
Modifiers may apply depending on the circumstances of the procedure.Refer to the CPT manual for modifier guidelines.
Medical necessity is established by the presence of a symptomatic or high-risk visceral aortic aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption, where endovascular repair is deemed the appropriate treatment option.Documentation of the patient's clinical presentation, including risk assessment and anatomical suitability for the procedure, is essential.
The physician's responsibilities include pre-operative planning, image review, device sizing, performing the endovascular procedure, post-operative assessment, and appropriate documentation.
In simple words: This code covers a minimally invasive procedure to repair a weakened or damaged section of the upper abdominal aorta (visceral aorta).A special mesh tube with openings (fenestrations) is placed inside the aorta to reinforce it, and a smaller tube is placed in one branch artery to keep blood flowing.
Endovascular repair of the visceral aorta (e.g., 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 (superior mesenteric, celiac, or renal artery).
Example 1: A 70-year-old male presents with a visceral aortic aneurysm.The physician plans and sizes a fenestrated endograft.The procedure is performed, involving placement of the endograft and a single visceral artery endoprosthesis (SMA)., A 65-year-old female with a history of aortic dissection requires endovascular repair. A fenestrated endograft and a single renal artery endoprosthesis are deployed., An 80-year-old male presents with a visceral aortic aneurysm involving the celiac and superior mesenteric arteries. A fenestrated endograft is placed, along with separate endoprostheses in the celiac and SMA arteries. Note that this would require billing using 34842.
Detailed preoperative planning documentation, including image studies (CT, CTA, MRI) and 3D modeling; operative report specifying the number of visceral arteries treated and endoprostheses placed; post-operative imaging confirming graft placement and patency.
** The selection of the appropriate code from 34841-34848 is crucial and depends on the number of visceral arteries treated (one to four) and whether the repair extends into the infrarenal aorta and iliac arteries (codes 34845-34848).
- Revenue Code: Refer to specific payer guidelines for revenue codes.
- RVU: Refer to current Medicare Physician Fee Schedule for RVUs.
- Global Days: Global surgical period information is not explicitly defined within the provided text.Refer to payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: The TC modifier may not apply to this code given the comprehensive nature of the procedure.
- Fee Schedule: Historical fee schedules vary by payer and year.Refer to the appropriate fee schedule for specific information.
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center