Question:
In what circumstances may iliac, brachial, axillary, or subclavian exposure be separately reported during endovascular aneurysm repair?
Answer:
Code 34812 describes open repair and closure of the femoral artery. Extensive repair of an artery (e.g., 35226, 35286, 35371) may also be reported separately. Iliac exposure for device delivery through a retroperitoneal incision, open brachial exposure, or axillary or subclavian exposure through an infraclavicular, supraclavicular, or sternotomy incision during endovascular aneurysm repair may be separately reported (e.g., 34715, 34812, 34820, 34834). Endovascular device delivery or establishment of cardiopulmonary bypass that requires creation of a prosthetic conduit utilizing a femoral artery, iliac artery with a retroperitoneal incision, or axillary or subclavian artery exposure through an infraclavicular, supraclavicular, or sternotomy incision (34714, 34716, 34833) and oversewing of the conduit at the time of procedure completion may be separately reported during endovascular aneurysm repair or cardiac procedures requiring cardiopulmonary bypass.
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