CPT® Code 34847

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

The procedure described by CPT® Code 34847 involves an endovascular repair of the visceral aorta and the infrarenal abdominal aorta, which may be necessary due to various conditions such as aneurysms, pseudoaneurysms, dissections, penetrating ulcers, intramural hematomas, or traumatic disruptions. This complex procedure utilizes a fenestrated visceral aortic endograft, which is specifically designed with openings (fenestrations) that align with the ostia of the superior mesenteric, celiac, and renal arteries. This design allows for the preservation of blood flow to these critical branches while effectively repairing the aorta. The procedure is performed through a minimally invasive approach, typically involving an incision in the groin to access the femoral artery. A guidewire is then navigated through the vascular system to the site of the defect, allowing for the placement of the endograft. The endograft is deployed under fluoroscopic guidance to ensure accurate positioning and coverage of the defect, with careful attention to the alignment of the fenestrations over the visceral arteries. This procedure not only addresses the aortic defect but also includes the placement of stents in the involved visceral arteries to maintain their patency. The comprehensive nature of this procedure, including all associated radiological supervision and interpretation, underscores its complexity and the need for skilled execution to achieve optimal outcomes.