CPT® Code 34844

Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

The CPT® Code 34844 refers to the endovascular repair of the visceral aorta, which encompasses various conditions such as aneurysms, pseudoaneurysms, dissections, penetrating ulcers, intramural hematomas, or traumatic disruptions. This procedure utilizes a fenestrated visceral aortic endograft, a specialized type of prosthesis designed to treat defects in the aorta that extend into or above the branches of the visceral arteries. The fenestrated endograft features openings at the ostia of the superior mesenteric, celiac, and/or renal arteries, allowing for the uninterrupted flow of blood into these critical branches. The procedure is performed through a minimally invasive approach, typically involving an incision in the groin to access the femoral artery. This method is advantageous as it reduces recovery time and minimizes complications associated with open surgical techniques. The deployment of the endograft is guided by fluoroscopic imaging, ensuring precise placement and verification of the device's position relative to the aortic defect and the visceral arteries. This comprehensive approach includes all necessary radiological supervision and interpretation, as well as any angioplasty of the target zone when performed, making it a complex yet essential intervention for patients with significant aortic pathology.