Extension prosth for EVAR Coding help!

rai2004575

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Hey all,

New to vascular coding, wanted some outside input on coding for certain vascular EVAR services. I am getting denials when billing add-on code +34812 with 34710. The carrier states that the 34812 does not have a proper primary code. This is even after operative notes were sent for support.

In the 2018 AMA CPT Manual, on pg.231, in green type, it states...

"For open arterial exposure, report 34714, 34715, 34716, 34812, 34820, 34833, 34834 as appropriate, in conjunction with 34701, 34702, 34703, 34704, 34705, 34706, 34707, 34708, 34710

The op note in question, to me, does indicate open arterial exposure.

Am I missing something.

Any help is appreciated.


Thank you all very much in advance!
 
Last edited:
If you look on page 232 under the 34812, 34710/34711 isn't included in the green text. This was a known issue. So for 2019 on page 247 they did get the 34713 corrected with the 34710/34711 but the 34812 still was missed in the corrections.
 
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