Reporting Extensions with TEVAR: Part 2

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Question:

When placing an endovascular thoracic endograft for a thoracic aneurysm, a proximal extension was placed. This extension covered the left subclavian artery. Do I report the TEVAR code 33880, for an endograft covering the left subclavian and the extension? Or do I report the TEVAR code 38811 for an endograft not covering the left subclavian and the extension?

Answer:

In TEVAR, endovascular repair of a descending thoracic aorta, if an extension is placed that covers the left subclavian artery, the procedure has now converted to 33880, an endograft covering the left subclavian artery. This would be the only code reported for the endograft and the extension.

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