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The CPT® Code 0080T refers to the endovascular repair of an abdominal aortic aneurysm, pseudoaneurysm, or dissection that involves the abdominal aorta and its visceral vessels, specifically the superior mesenteric artery, celiac artery, and/or renal arteries. This procedure is characterized by the use of a prosthesis and requires radiological supervision and interpretation throughout the process. The procedure begins with angiography of the aorta and its branches, which is essential for visualizing the vascular anatomy prior to the deployment of the endovascular prosthesis. During the procedure, fluoroscopic guidance is utilized to ensure accurate placement of various components, including guidewires, catheters, and the endovascular prosthesis itself. Intraprocedural angiography is performed to confirm the correct positioning of the prosthesis, detect any potential endoleaks, and evaluate the blood flow in the surrounding vessels. A road-mapping angiography is also conducted to provide a detailed view of the aortic anatomy, facilitating the repair process. After the prosthesis is deployed, a post-deployment aortogram is carried out to assess the position of the prosthesis, check for endoleaks, and ensure the patency of critical arteries such as the renal, hypogastric, lumbar, and inferior mesenteric arteries. The physician is responsible for providing a comprehensive written interpretation of all angiographic and fluoroscopic imaging conducted during the procedure.
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