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The CPT® Code 34826 refers to the placement of a proximal or distal extension prosthesis specifically for the endovascular repair of infrarenal abdominal aortic or iliac aneurysms, false aneurysms, or dissections. In simpler terms, this procedure involves the insertion of an additional prosthetic device into the aorta or iliac artery when the primary endograft component is insufficient in length to adequately address the vascular issue. This situation often arises when an endoleak, which is a complication where blood leaks into the aneurysm sac, is detected during the initial endograft repair. The extension prosthesis serves to effectively seal off the endoleak, ensuring that blood flow is redirected appropriately and the risk of further complications is minimized. The procedure can be performed either during the same surgical session as the initial repair or in a subsequent session if the endoleak is identified postoperatively. The placement of the extension prosthesis is guided by fluoroscopic imaging to ensure accurate positioning, followed by deployment using a balloon catheter to secure the prosthesis in place. This code is used in conjunction with CPT® Code 34825, which is designated for the placement of an extension prosthesis in the primary vessel, while 34826 is specifically for each additional vessel that requires treatment.
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The placement of a proximal or distal extension prosthesis, as described by CPT® Code 34826, is indicated for the following conditions:
The procedure for placing a proximal or distal extension prosthesis involves several critical steps:
Post-procedure care following the placement of a proximal or distal extension prosthesis includes monitoring the patient for any signs of complications, such as further endoleaks or vascular issues. Patients may require follow-up imaging studies to confirm the integrity of the repair and the effectiveness of the extension prosthesis. Recovery may vary depending on the individual patient's condition and the extent of the procedure performed. It is essential for healthcare providers to provide appropriate instructions for post-operative care, including activity restrictions and signs of potential complications that should prompt immediate medical attention.
| Short Descr | ENDOVASC EXTEN PROSTH ADDL | Medium Descr | PLMT XTN PROSTH EVASC RPR ARYSM/DSJ EA VSL | Long Descr | Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; each additional vessel (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
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