2025 CPT code 34714
Effective Date: N/A Surgical Procedures on the Cardiovascular System - Cardiovascular System Surgery Feed
Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral. (List separately in addition to code for primary procedure)
Modifiers may be applicable. Modifier 50 is used for bilateral procedures.
Medical necessity for 34714 is established when percutaneous access is not feasible or safe due to factors like large sheath size, patient anatomy, or other clinical considerations requiring open access.
With the patient prepped and anesthetized, the surgeon makes a groin incision, exposes the femoral artery, and creates a conduit within the artery. This allows for better access to place an endovascular prosthesis or establish cardiopulmonary bypass.Following the primary procedure, the surgeon closes both the artery and the groin incision.
In simple words: The surgeon makes an incision in the groin to access the femoral artery. A pathway, or conduit, is created in the artery to facilitate the insertion of a tube graft or to connect the patient to a heart-lung machine during heart surgery. This procedure is billed separately from the main procedure.
This procedure involves opening the femoral artery through a groin incision to create a conduit. This conduit is used either for the insertion of an endovascular prosthesis (a tube graft placed inside a blood vessel) or for establishing cardiopulmonary bypass (a technique that temporarily takes over the function of the heart and lungs during surgery). This code is reported in addition to the primary procedure code.
Example 1: A patient requires an endovascular aortic aneurysm repair. The surgeon performs open femoral artery exposure to insert the endograft delivery system. Code 34714 is reported in addition to the endovascular repair code., During a heart surgery requiring cardiopulmonary bypass, the surgeon performs open femoral artery exposure to connect the patient to the heart-lung machine. Code 34714 is reported in addition to the heart surgery code., A patient with peripheral artery disease requires an endovascular stent placement in the leg. The surgeon performs open femoral artery exposure to introduce the stent delivery catheter. Code 34714 is reported in addition to the stent placement code.
Documentation should include the size of the sheath used for access, the reason for open exposure (e.g., large sheath size, difficult anatomy), the primary procedure performed, and any complications encountered.
** Code 34714 is used for open femoral artery exposure with conduit creation for endovascular prosthesis delivery or cardiopulmonary bypass establishment via a groin incision, unilaterally.It is reported separately, in addition to the primary procedure code, and is not reported if percutaneous access using a smaller sheath (less than 12 French) is feasible.
- Specialties:Cardiovascular surgery, Interventional radiology, Vascular surgery, Cardiac surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center