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AAA EVAR palmaz stent vs extension cuff

  1. Default AAA EVAR palmaz stent vs extension cuff
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    If a palmaz stent is used to treat a difficult type 1 endoleak, would it be considered an extension cuff? (34825) I beleive 37205 is bundled into 34802 and modifier -59 would not apply because stent is going into the same vessel during the same operative session.

  2. Default
    According to the inclusion notes in the CPT. Stent placement in the target area either before or after endograft deployment is not reported seperately. I think you senerio would fall into that note, so I would not bill for the stent placement. Please let me know if anyone disagrees.
    Last edited by lisammy; 08-27-2010 at 07:47 AM. Reason: typo

  3. Default endoleak
    Without reading the entire OP note and only having the info below, I would say yes, that is an extensive cuff/extension limb and should be reported as the 34825 & 75953, not the 37205 & 75960. Two typical scenarios where the cuffs are utilized are endoleaks and to custom fit the patient's anatomy. (pt's vessels longer than the docking limb)

    Hope that helps.

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