CPT® Code 0081T

Deleted

Placement of visceral extension prosthesis for endovascular repair of abdominal aortic aneurysm involving visceral vessels, each visceral branch, radiological supervision and interpretation (List separately in addition to code for primary procedure)

The CPT® Code 0081T refers to the placement of a visceral extension prosthesis specifically for the endovascular repair of an abdominal aortic aneurysm that involves visceral vessels. This procedure is critical in managing complex abdominal aortic aneurysms, particularly when the aneurysm extends into the branches that supply vital organs. The term "visceral extension prosthesis" indicates that the prosthetic device is designed to extend into the visceral branches, which may include arteries supplying the kidneys, intestines, and other abdominal organs. The procedure encompasses several key components, including radiological supervision and interpretation, which are essential for ensuring the accurate placement and functionality of the prosthesis. During the procedure, various imaging techniques are employed, such as angiography, to visualize the aorta and its branches before the deployment of the endovascular prosthesis. This imaging is crucial for planning the intervention and ensuring that the prosthesis is correctly positioned. Fluoroscopic guidance is utilized throughout the procedure to assist in the precise placement of guidewires, catheters, and the prosthesis itself. Additionally, intraprocedural angiography is performed to confirm the correct positioning of the prosthesis, detect any potential endoleaks, and evaluate the blood flow through the affected vessels. A post-deployment aortogram is also conducted to assess the position of the prosthesis, check for endoleaks, and ensure the patency of the renal, hypogastric, lumbar, and inferior mesenteric arteries. The physician is responsible for providing a comprehensive written interpretation of all angiographic and fluoroscopic imaging performed during the procedure. This code is listed separately in addition to the primary procedure code for the placement of the abdominal aortic prosthesis with visceral branch involvement, which is designated by CPT® Code 0080T.