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AAPC CPC Exam - Topic 3 Question 57 Discussion

Actual exam question for AAPC's CPC exam
Question #: 57
Topic #: 3
[All CPC Questions]

A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair. An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.

What CPT code does the vascular surgeon use to report the procedure?

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Suggested Answer: A

The emergent endovascular repair of an infrarenal abdominal aortic aneurysm with an aorto-aortic tube endograft is coded with CPT 34702. This code includes the deployment of the endograft and the necessary balloon angioplasty for sealing the proximal and distal attachment zones.


AMA's CPT Professional Edition (current year)

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Patria
5 days ago
I remember something about needing to specify the type of endograft used, but I can't recall if that affects the code.
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Lonny
10 days ago
I think the CPT code for endovascular repair of an aortic aneurysm is in the 34700 range, but I'm not completely sure.
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Izetta
15 days ago
Wait, I'm a little confused. Is the balloon dilation considered part of the endograft placement, or is it a separate procedure? That could affect the coding.
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Helene
20 days ago
I feel pretty confident about this. The balloon angioplasty for endoleak treatment is likely reported separately, maybe with a 35476 code.
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Hector
25 days ago
Okay, let me think this through. The key is that this is an endovascular repair with balloon dilation, so I'm guessing the code would be in the 34700 series.
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Donte
1 month ago
Hmm, I'm not totally sure about this. Is there a more specific code for endoleak treatment with balloon angioplasty?
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Daron
1 month ago
I think I know this one. The CPT code for an aorto-aortic tube endograft placement with balloon dilation at the seal zones would be 34709.
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