2025 CPT code 34843
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Surgery - Endovascular Repair Surgery Feed
Endovascular repair of the visceral aorta using a fenestrated endograft and three visceral artery endoprostheses.
Modifiers may be applicable depending on the specific circumstances, such as modifier 51 (multiple procedures) if other procedures are performed during the same session, modifier 22 (increased procedural services) if substantially more work was required, or modifier 52 (reduced services) if the procedure was partially completed.
Medical necessity is established by the presence of a clinically significant visceral aortic aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption that poses a high risk of rupture or serious morbidity. The decision to use a fenestrated endograft and the number of visceral artery endoprostheses depends on the specific anatomical circumstances and the need to preserve blood flow to crucial organs.
The clinical responsibility involves the vascular surgeon, who performs the entire procedure including pre-operative planning, access site selection, endograft placement, and post-operative monitoring.Anesthesiologist may also be involved depending on the procedure.
In simple words: This code describes a minimally invasive surgery to repair a weakened or damaged area of the main artery in the abdomen (visceral aorta).A special type of graft with openings (fenestrations) is inserted through a blood vessel in the leg, guided to the affected area, and positioned to support the artery.Three additional smaller grafts are then placed through these openings to maintain blood flow to crucial organs.X-ray guidance is used throughout the procedure.
This CPT code encompasses the endovascular repair of the visceral aorta (including conditions like aneurysms, pseudoaneurysms, dissections, penetrating ulcers, intramural hematomas, or traumatic disruptions) through the deployment of a fenestrated visceral aortic endograft.The procedure includes the placement of three visceral artery endoprostheses (superior mesenteric, celiac, and/or renal arteries).All associated radiological supervision and interpretation, including target zone angioplasty (if performed), are included in this code. Introduction of guide wires and catheters within the aorta and visceral and/or renal arteries is inherent to the procedure and not separately reportable.However, catheterization of hypogastric artery(s) and/or arterial families outside the treatment zone might be reported separately. Balloon angioplasty within the target treatment zone is also not separately reportable.
Example 1: A 70-year-old male patient presents with a visceral aortic aneurysm.The surgeon determines that a fenestrated endograft with three visceral artery endoprostheses (celiac, superior mesenteric, and left renal artery) is necessary. This scenario maps to 34843 because it involves three visceral arteries., A 65-year-old female patient with a dissection involving the visceral aorta requires endovascular repair. The surgeon utilizes a fenestrated endograft and places endoprostheses in three visceral arteries.This is a suitable scenario for 34843., A 75-year-old male patient presents with a traumatic disruption of the visceral aorta requiring urgent repair. A fenestrated endograft is deployed, along with three visceral artery endoprostheses. The urgency of the situation doesn't alter the application of 34843, as the core components of the procedure are the same.
* Detailed pre-operative imaging (CT, CTA, or MRI) demonstrating the aneurysm or vascular pathology.* Operative report describing the approach, materials used (specific type of endograft and endoprostheses), and the number and location of visceral artery endoprostheses deployed.* Intraoperative angiograms demonstrating graft placement and patency of visceral arteries.* Post-operative angiograms confirming the absence of endoleaks.* Physician notes indicating the total time spent in pre-operative planning and the time dedicated to the procedure.
** Accurate coding requires thorough documentation reflecting the specific type and number of endografts and endoprostheses used, as well as the total time spent in pre-operative planning.Always consult the current CPT manual and payer-specific guidelines for the most up-to-date information.
- Revenue Code: This information is payer-specific and not consistently defined across all payers. Consult your payer's guidelines.
- RVU: RVUs are not directly part of CPT coding; they are determined by the payer and vary based on geographic location and other factors.Consult your payer for RVU details.
- Global Days: The global surgical period for this procedure is not explicitly defined in the CPT code description. It would likely be determined based on payer-specific guidelines.
- Payment Status: Active, Reimbursement varies by payer and location
- Modifier TC rule: Not applicable; this is a comprehensive procedure code.
- Fee Schedule: Historical fee schedules are not consistently available and vary greatly by payer and location. Refer to your specific payer's historical data.
- Specialties:Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center