2025 CPT code 34712
(Active) Effective Date: N/A Revision Date: N/A Vascular Surgery - Endovascular Procedures Surgery Feed
Transcatheter delivery of enhanced fixation devices (e.g., anchor, screw, tack) to a previously placed endograft to address leaks or migration; includes radiological supervision and interpretation.
Modifiers may apply depending on the circumstances of the procedure.Consult the most current CPT manual for appropriate modifier use.
Medical necessity is established by demonstrating radiographic evidence of endoleak or endograft migration, necessitating additional fixation to prevent complications such as rupture, re-intervention, or mortality.
The clinical responsibility lies with the interventional radiologist or vascular surgeon who performs the procedure. This includes pre-procedural planning,percutaneous catheter insertion and navigation,deployment of the fixation device with precise placement confirmed through imaging,and post-procedural assessment.Appropriate documentation and follow-up care are also the responsibility of the performing physician.
In simple words: The doctor uses imaging guidance (like X-rays or ultrasound) to place small devices (anchors, screws, or tacks) to secure an existing tube-like device (endograft) inside an artery. This is done to fix a leak or prevent the tube device from moving.
This CPT code encompasses the transcatheter delivery of accessory enhanced fixation devices, such as anchors, screws, or tacks, to secure a previously implanted endograft within the artery.The procedure aims to resolve issues like endoleaks or endograft migration.All associated radiological supervision and interpretation are inherently included in this code and should not be reported separately. The procedure involves the percutaneous introduction of a catheter, the deployment of the fixation device to the designated site on the endograft, secure placement to address the existing issue, and then removal of the catheter followed by closure of the access site. The procedure is typically performed under image guidance (fluoroscopy, ultrasound, or other imaging modalities).
Example 1: A patient presents with an endoleak after an abdominal aortic aneurysm repair.34712 is used to secure the endograft with additional fixation devices., A patient experiences endograft migration following an iliac artery aneurysm repair. The physician utilizes 34712 to re-secure the endograft in its correct anatomical position., During a routine post-operative follow-up, imaging reveals a small endoleak near the proximal end of an abdominal aortic endograft.The physician uses 34712 to deploy additional fixation devices to reinforce the graft and prevent further leak.
Detailed operative report with precise description of devices used, location of placement, and imaging findings demonstrating successful fixation. Pre- and post-procedural angiograms/imaging to confirm the need for and effectiveness of the procedure.Patient demographics, medical history, and the indication for the procedure.Consent form.
** This procedure is considered low-risk, but complications such as bleeding, hematoma formation, or arterial injury are possible.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center