Wiki AAA EVAR palmaz stent vs extension cuff

[jas100695]

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.

 

[lisammy]

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.

 

[boogiebowden]

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.