FEVAR? What Is It?

Question:

My doctor is doing a FEVAR procedure. What exactly is a FEVAR?

Answer:

FEVAR, or fenestrated endovascular aortic aneurysm repair, is an endovascular approach to the repair of an abdominal aneurysm that involves the upper abdominal or visceral aorta. This mid portion of the aorta contains the celiac, superior mesenteric and renal arteries. FEVAR codes, 34841-34848, report the placement of an endograft into this section of the aorta. The endograft has fenestrations (or openings) to accommodate the visceral arteries. The codes are selected based on the number of fenestrations (1, 2, 3 or 4 openings) and the configuration of the device (the extent of the aorta involved). Please refer to your CPT manual for a detailed description of the eight new codes.