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Fenestrated visceral aortic endograft placement is a sophisticated and intricate procedure utilized primarily for the repair of aortic aneurysms. This technique is performed by specialized healthcare professionals, including vascular surgeons, interventional radiologists, general surgeons, or interventional cardiologists. The process begins with a thorough review of the patient's angiograms and other diagnostic imaging studies to assess the anatomy and pathology of the aorta. The physician must select the appropriate graft tailored to the unique physiological characteristics of the patient, ensuring that the graft will effectively address the specific aortic condition. This planning phase is critical, as it involves determining the size and location of the aortic disease, which directly influences the choice of endograft. The endograft itself is designed with fenestrations, or openings, that must align precisely with the natural visceral ostia—these are the openings that lead to other vital vessels such as the renal arteries, internal iliac arteries, and the aortic arch. The meticulous planning process requires a minimum of 90 minutes of dedicated physician time to ensure that all aspects of the procedure are carefully considered and tailored to the individual patient's needs, ultimately leading to a more stable and effective repair compared to traditional open surgical methods.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of planning for a patient-specific fenestrated visceral aortic endograft is indicated for patients presenting with specific conditions related to aortic aneurysms. The following indications are explicitly recognized for this procedure:
The procedure for planning a patient-specific fenestrated visceral aortic endograft involves several critical steps that ensure the successful implementation of the endograft. Each step is essential for achieving optimal outcomes.
After the planning phase for the fenestrated visceral aortic endograft, the physician may provide specific instructions regarding the next steps in the patient's care. While the planning itself does not involve immediate post-procedure care, it sets the stage for the subsequent surgical intervention. Patients may be advised on monitoring for any symptoms related to their aortic condition and may need to undergo further imaging studies to confirm the appropriateness of the planned graft. Additionally, the physician will discuss the anticipated timeline for the actual endograft placement procedure and any preparatory steps the patient should take prior to that intervention.
| Short Descr | PLNNING PT SPEC FENEST GRAFT | Medium Descr | PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT | Long Descr | Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time | Status Code | Bundled Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | 1 |
| 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2015-01-01 | Added | Added |
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