2025 CPT code 34842
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fenestrated Endovascular Repair Procedures of the Visceral and Infrarenal Aorta Surgical Procedures on Arteries and Veins Feed
Endovascular repair of the visceral aorta using a fenestrated endograft, including two visceral artery endoprostheses.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 58 for staged procedures). Consult CPT guidelines and local payer policies.
Medical necessity is established by the presence of an aneurysm or other pathology compromising the integrity of the visceral aorta, requiring intervention to prevent rupture or maintain organ perfusion.
The physician is responsible for pre-procedural planning, including image review and 3D modeling. During the procedure, the physician accesses the femoral artery, advances guidewires, positions the fenestrated endograft, and deploys visceral artery endoprostheses under fluoroscopic guidance. Post-procedure, the physician assesses the repair and ensures adequate blood flow.
In simple words: Repair of a weakened area in the upper abdominal aorta using a special stent-graft with openings to allow blood flow to the important branches of the aorta. This procedure involves placing two additional small stents within the larger stent to ensure blood flow to organs.
Endovascular repair of the visceral aorta (e.g., aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) via deployment of a fenestrated visceral aortic endograft.This includes all associated radiological supervision and interpretation, including target zone angioplasty if performed, and placement of two visceral artery endoprostheses (superior mesenteric, celiac, and/or renal arteries).
Example 1: A 70-year-old male presents with a visceral aortic aneurysm.The physician plans and executes an endovascular repair using a fenestrated endograft, placing two additional endoprostheses in the superior mesenteric and celiac arteries., A 65-year-old female with a history of aortic dissection requires repair of the visceral aorta. The physician uses a fenestrated endograft and inserts endoprostheses into the superior mesenteric and one renal artery., An 80-year-old male with a traumatic aortic rupture undergoes emergency fenestrated endovascular repair.Two visceral artery endoprostheses are placed due to the extent of the injury.
Pre-operative imaging (CT, CTA, MRI), detailed procedural notes including time spent on planning, fluoroscopy images showing endograft placement and patency of visceral arteries, post-operative angiograms.
** This code encompasses the entire procedure, including radiological supervision and interpretation, and angioplasty within the target treatment zone.Separate coding is required for procedures outside this zone or for additional vessel treatment.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center