2025 CPT code 34702
Endovascular repair of infrarenal aorta with aorto-aortic tube endograft for rupture.
Modifiers may be applicable. Refer to official CPT guidelines and payer policies for appropriate modifier usage.
Medical necessity for 34702 is established by the presence of a ruptured infrarenal abdominal aortic pathology requiring immediate repair to prevent life-threatening hemorrhage.
The physician performs the procedure by making a small incision, typically in the groin, to access the femoral artery.A catheter is advanced to the site of the rupture in the infrarenal aorta. An aorto-aortic tube endograft is deployed through the catheter to cover the rupture.The procedure includes pre-operative sizing, non-selective catheterizations, radiological supervision and interpretation, and any necessary angioplasty or stenting within the treatment zone.
In simple words: This procedure involves placing a tube-like graft inside the lower part of the main artery in the abdomen (infrarenal aorta) to treat a rupture, such as an aneurysm. The doctor uses a small incision in the groin to access the artery and inserts the graft through a catheter. The graft reinforces the weakened artery wall and helps restore normal blood flow. This procedure also includes planning, imaging, and any necessary widening or supporting of the 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 rupture including temporary aortic and/or iliac balloon occlusion, when performed (e.g., for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption).
Example 1: A patient presents with a ruptured infrarenal abdominal aortic aneurysm. The rupture is confirmed with CT imaging. The patient is taken to the operating room for emergent endovascular repair using an aorto-aortic tube endograft (34702)., A patient with a history of hypertension and atherosclerosis presents with acute abdominal pain. Imaging reveals a ruptured penetrating ulcer in the infrarenal aorta. The patient undergoes emergent endovascular repair with an aorto-aortic tube endograft and temporary balloon occlusion (34702)., A patient involved in a motor vehicle accident sustains blunt abdominal trauma. Imaging reveals a traumatic disruption of the infrarenal aorta.Endovascular repair with an aorto-aortic tube endograft is performed (34702).
Documentation should include details of the rupture (e.g., aneurysm, pseudoaneurysm, dissection, ulcer, traumatic disruption), location (infrarenal aorta), operative details of the endograft placement, use of any temporary balloon occlusion, associated angioplasty/stenting if performed, and all pre- and intra-operative imaging findings.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- Global Days: 90 days
- Payment Status: Active
- Specialties:Vascular Surgery, Interventional Radiology, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center