This page addresses follow-up questions and additional information pertinent to our webinar
Aneurysm Repair Coding: Easing the Pressure with the Essentials.

** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic, as they can change rapidly.

Q: What determines the correct CPT code for aneurysm repair procedures?
A: The most important factors are:

• Location of the aneurysm (abdominal, thoracic, iliac, etc.)
• Type of repair performed (open surgery vs. endovascular)
• Vessels involved in the treatment

For endovascular procedures, the treatment zone and the type of endograft placed are key elements used to determine the primary CPT code.

Coding Tip: Always identify the approach and the anatomy treated first before selecting a code.

Q: Are catheterization, imaging, and angioplasty coded separately with EVAR or TEVAR procedures?
A: In most cases, no. EVAR and TEVAR codes include many services that would normally be coded separately.

These codes typically include:

• Nonselective catheterization
• Radiological supervision and interpretation
• Endograft deployment
• Angioplasty or stenting performed within the treatment zone

Coding Tip: Additional codes are usually reported only when procedures occur outside the treatment zone or involve separate access procedures.

Q: How are extension grafts coded during endovascular aneurysm repair?
A: Extension grafts are coded per vessel treated, not per individual device segment. This means that even if multiple extension pieces are placed within the same vessel, the extension add-on code is reported only once for that vessel.

Coding Tip:​ Focus on how many vessels receive extensions, not how many devices were used.