Regarding endovascular repair of an abdominal aortic aneurysm (formerly EVAR), what is meant by ‘rupture’?


Codes for endograft placement in the abdominal aorta are separated by ‘for rupture’ and ‘for other than rupture’, per the CPT® manual, rupture is defined as “clinical and/or radiographic evidence of acute hemorrhage”. Generally, these procedures are going to be performed emergently and not selectively. If a patient has a chronic, contained rupture this would be reported with an ‘other than rupture’ code depending on the anatomic location treated with an endograft.


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