Reporting Extensions with TEVAR: Part 1

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Question:

When placing an endovascular thoracic endograft for a thoracic aneurysm, a proximal extension was placed. Is this separately billable and if so how is it coded?

Answer:

TEVAR, endovascular repair of a descending thoracic aorta, is reported with either 33880, for an endograft covering the left subclavian artery or 33881 for endograft covering the left subclavian artery. If a proximal extension is placed, t is reported in addition to the main body code (33880 or 33881) with 34833. This code is reported for each proximal extension placed. Don’t forget to also report the paired radiology interpretation and supervision code, 75958-26 for each proximal extension placed.

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