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The CPT® Code 34848 refers to the endovascular repair of the visceral aorta and the infrarenal abdominal aorta, specifically addressing conditions such as aneurysms, pseudoaneurysms, dissections, penetrating ulcers, intramural hematomas, or traumatic disruptions. This procedure utilizes a fenestrated visceral aortic endograft, which is designed with openings (fenestrations) that align with the ostia of the superior mesenteric, celiac, and renal arteries, allowing for uninterrupted blood flow into these critical branches. In conjunction with the fenestrated endograft, a unibody or modular infrarenal aortic endograft is also employed to ensure comprehensive coverage of the aortic defect. The procedure is performed through a minimally invasive approach, typically initiated with an incision in the groin to access the femoral artery. The endovascular technique is guided by radiological supervision and interpretation, which includes target zone angioplasty when necessary. This code encompasses the placement of four or more visceral artery endoprostheses, which may include stents for the superior mesenteric, celiac, and renal arteries, ensuring that the entire defect is adequately addressed and secured.
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