CPT code 34842 identifies endovascular repair of the visceral aorta using a fenestrated endograft with placement of additional visceral artery endoprostheses under radiologic guidance. This complex, image-guided vascular procedure addresses disease of the upper abdominal aorta involving the celiac, superior mesenteric, and renal arteries and is a critical treatment option for anatomically challenging aneurysms or aortic pathology that risks visceral perfusion.

Nationally, use of CPT code 34842 reflects care delivered in hospital settings such as catheterization laboratories or hybrid operating rooms staffed by interventional radiology and vascular surgery teams. Key payers commonly covering services of this type in national analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Payer policies vary on prior authorization, documentation requirements, and facility versus professional payment splits.

Readers will find context on the clinical intent of the code, the typical service environment, and the payer landscape. The publication summarizes benchmarking elements, common billing modifiers and claims considerations, and relevant clinical context to help billing, coding, and policy audiences understand where this code fits in vascular service lines. Data not available in the input for specific reimbursement rates, ICD-10 pairings, and taxonomies are noted as unavailable.