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Course

Endovascular AAA Endograft (EVAR) Procedures Coding in CPT


Description

In this course, participants will gain comprehensive knowledge about the intricacies of coding for endovascular abdominal aortic aneurysm (AAA) repair procedures using Current Procedural Terminology (CPT) codes. This course delves into the essential components of endovascular AAA repair, including surgical approaches, various types of endografts, and detailed procedural steps. Participants will explore the importance of understanding aortic anatomy in accurate coding and will examine real-world coding examples. The course also offers valuable resources, such as procedural videos and insights from CPT Assistants, to enhance comprehension and proficiency in coding for endovascular AAA repair procedures.

Included Lessons:

  • Why and How is an Endovascular AAA Endograft Performed?
  • Anatomy of the Aorta
  • CPT and Endovascular AAA Endograft Coding
  • Procedural Videos
  • CPT Assistants and CC for HCPCS Related to Endovascular AAA Repair
  • Coding Examples
CEUs available for the following credentials:

AHIMA

CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS

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Key Takeaways

Completing this course will empower medical coders with the expertise and confidence needed to accurately code for endovascular AAA repair procedures using CPT codes, contributing to efficient healthcare billing and documentation processes. Some key takeaways include:

  • Understanding of EVAR Procedures: Participants will gain a comprehensive understanding of endovascular abdominal aortic aneurysm (AAA) repair procedures, including the rationale for performing EVAR and the benefits it offers compared to open surgery.
  • Aortic Anatomy Knowledge: Coders will learn the significance of aortic anatomy in coding, enabling them to accurately identify the specific location of aneurysms and endograft deployment.
  • Proficiency in CPT Coding: The course will equip participants with the skills to accurately apply Current Procedural Terminology (CPT) codes for EVAR procedures, including knowledge of recent code updates and revisions.
  • Differentiating Factors: Coders will learn how to differentiate between various types of endografts, extensions, and procedural nuances, ensuring precise coding based on the specific patient case.
  • Coding for Ruptured vs. Non-Ruptured Aneurysms: Participants will understand the distinctions in coding for acute ruptures, which require emergent intervention, and chronic ruptures, which are typically elective procedures.
  • Handling Extensions: Coders will be able to accurately code for the placement of extensions in vessels outside the treatment zone, a crucial aspect of EVAR coding.
  • Use of Procedural Videos: Access to procedural videos will enhance visual comprehension of EVAR techniques, aiding in accurate coding and documentation.
  • CPT Assistant Insights: Participants will benefit from insights and guidance from CPT Assistants, helping them navigate complex coding scenarios.

Benefits of Taking this Course

  • Career Advancement
  • Increased Coding Accuracy
  • Improved Compliance 
  • In-Depth Knowledge of EVAR Procedures
  • Enhanced Confidence

FAQs

What are the key differences between open surgical repair and endovascular AAA repair (EVAR) that I should consider when coding these procedures?
Open surgical repair involves a large abdominal incision and direct replacement of the aneurysm with a synthetic graft, whereas EVAR is a minimally invasive procedure using endografts inserted through small incisions in the groin. When coding, it's crucial to distinguish between the two based on the surgical approach, as open surgery is coded differently from EVAR. Additionally, you should consider the anatomical location and type of endograft used in EVAR.
What is the role of intravascular ultrasound (IVUS) in EVAR procedures, and how does it affect coding?

IVUS is often used during EVAR to assess vessel dimensions and guide the placement of endografts. IVUS helps ensure proper sizing and positioning of the endograft, which is crucial for a successful procedure. When coding, you should report IVUS separately using the appropriate CPT code (e.g., 37252 for the initial noncoronary vessel and 37253 for each additional noncoronary vessel) when performed during EVAR. IVUS of vessels outside the treatment zone is considered separately reportable.

What should I consider when coding for extensions placed outside the treatment zone during EVAR?

When extensions are placed outside the treatment zone, it's important to use the correct CPT code for these additional procedures. The code to use is 37409, "Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm." Ensure that the extensions are indeed located past the junction of the external and internal iliac arteries, and do not confuse them with the docking limbs of the main endograft in the treatment zone.

About our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPTE/M, ICD-10-CMICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatientoutpatientprofee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CMICD-10-PCSCPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams. 

Disclaimer: This course is not for individual sale. Purchase the CPT Coding Training Plan below and get access to 46 total CEUs. 

Overview
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AHIMA CEUs : 1
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