2025 CPT code 34708
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Surgery - Endovascular Procedures Surgery Feed
Endovascular repair of a ruptured iliac artery using an ilio-iliac tube endograft.
Medical necessity for 34708 is established by the presence of a ruptured or acutely bleeding iliac artery, necessitating urgent intervention to prevent life-threatening hemorrhage. The procedure is considered medically necessary to stabilize the patient's condition and restore blood flow.
A vascular surgeon or interventional radiologist is typically responsible for this procedure.Responsibilities include pre-procedure planning, device selection, arterial access, endograft placement, angiographic monitoring, and post-procedure care.
In simple words: The doctor repairs a ruptured blood vessel in the pelvis (iliac artery) by inserting a small tube-like device (endograft) through a catheter. This fixes the tear and restores blood flow. The procedure uses imaging guidance, and may include other techniques like widening the artery.
This CPT code encompasses the endovascular repair of a unilaterally ruptured iliac artery through the deployment of an ilio-iliac tube endograft.The procedure includes pre-procedure sizing and device selection, all nonselective catheterizations, associated radiological supervision and interpretation, endograft extensions (proximally to the aortic bifurcation and distally to the iliac bifurcation), and treatment zone angioplasty/stenting (if performed).Temporary aortic and/or iliac balloon occlusion may also be included, when necessary.
Example 1: A 70-year-old male presents with acute abdominal pain and hypotension, indicative of a ruptured iliac artery aneurysm.Angiography confirms the rupture. The patient undergoes endovascular repair with an ilio-iliac tube endograft using 34708., A 65-year-old female with a history of trauma sustains an iliac artery injury. Angiography shows a pseudoaneurysm requiring intervention. The patient undergoes endovascular repair with an ilio-iliac tube endograft, coded as 34708., A 55-year-old male presents with chronic, contained rupture of the iliac artery (pseudoaneurysm).The patient undergoes successful endovascular repair via an ilio-iliac tube endograft, coded with 34708.
Pre-operative angiography demonstrating the iliac artery pathology (rupture, aneurysm, pseudoaneurysm, etc.). Intra-operative fluoroscopy images documenting endograft deployment and position. Post-operative angiography confirming exclusion of the aneurysm and patency of the iliac artery. Patient's history and physical exam, including vital signs before, during, and after the procedure.Consent form. Anesthesiologist's report.Pathology report (if applicable).
** Accurate documentation is crucial for appropriate reimbursement.Ensure the documentation clearly specifies whether the rupture is acute or chronic (pseudoaneurysm).Any additional procedures performed outside the treatment zone (e.g., embolization, angioplasty of other vessels) should be separately reported with their respective codes.