33881 Thoracic endograft Medicare reimbursement rates in Missouri

Code 33881 describes endograft repair of descending thoracic aortic disease, such as an aneurysm, dissection, or traumatic disruption, without coverage of the left subclavian artery origin. A vascular or cardiothoracic surgeon typically performs the repair in a hospital or other surgical facility, advancing the endograft through arterial access, commonly femoral or iliac. The code includes the initial device and any required extensions through the treated segment toward the celiac artery, along with imaging guidance, monitoring, radiological supervision and interpretation, and closure of the access site.

Select this code when the operative report supports descending thoracic aortic repair and confirms that the left subclavian artery origin is not covered; use 33880 when it is covered. Documentation should identify the aortic pathology, device deployment and coverage extent, and access closure. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.