2025 CPT code 34701
(Active) Effective Date: N/A Surgery - Cardiovascular System Feed
Endovascular repair of infrarenal aorta using an aorto-aortic tube endograft for non-rupture conditions.
Modifiers may be applicable in certain situations, such as increased procedural services (22), multiple procedures (51), or reduced services (52), depending on the circumstances of the procedure.
Medical necessity is established by the presence of a clinically significant aneurysm, pseudoaneurysm, dissection, or penetrating ulcer in the infrarenal aorta that poses a risk to the patient's health.The endovascular repair should be a medically appropriate treatment option based on the patient's overall condition and the characteristics of the aortic pathology.
The physician performs the procedure to address aneurysms, pseudoaneurysms, dissections, or penetrating ulcers in the infrarenal aorta. This involves making a small incision, exposing the aorta, potentially performing angioplasty or stenting, inserting a catheter, deploying the endograft under imaging guidance, and ensuring proper placement before closure.
In simple words: The doctor repairs a weakened part of the main artery in the abdomen (aorta) using a covered stent-like tube. This procedure is done through a small cut in the groin, using X-ray guidance, and is for conditions like bulges or tears in the artery, not for a ruptured artery.
Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer).
Example 1: A patient presents with an abdominal aortic aneurysm that is causing pain and poses a risk of rupture. The physician determines that the patient is a suitable candidate for EVAR and performs 34701 to deploy an aorto-aortic tube endograft., A patient is diagnosed with a penetrating ulcer in the infrarenal aorta. To prevent further complications, the physician performs 34701 to reinforce the weakened area using an endovascular graft., A patient has a symptomatic aortic dissection that is not suitable for open surgery. The physician opts for endovascular repair using an aorto-aortic tube endograft (34701) to stabilize the dissection and restore normal blood flow.
Documentation should include details of the diagnosis, pre-procedure imaging, procedural steps including sizing and device selection, intraoperative angiograms/stenting, type of endograft used, location and extent of deployment, and post-procedure angiography confirming proper placement and absence of endoleaks.
- Revenue Code: P2F - Major Procedure, Cardiovascular - Other
- Specialties:Vascular Surgery, Interventional Radiology, Cardiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center