2025 CPT code 34502
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Venous Reconstruction Procedures Surgical Procedures on Arteries and Veins Feed
Reconstruction of the vena cava using any method.
Modifiers may be applicable depending on the specific circumstances of the procedure.Consult the most current CPT modifier guidelines for details.
Surgical reconstruction of the vena cava is medically necessary when there is a significant compromise of venous return due to congenital defects, trauma, tumor invasion, or other pathology. The repair is necessary to prevent life-threatening complications such as venous congestion, edema, and potentially death.
The clinical responsibility rests with the surgeon performing the vena cava reconstruction. This includes pre-operative planning, intraoperative management, and postoperative care. The surgeon will choose the approach, repair technique, and utilize appropriate imaging and monitoring technologies.
In simple words: This code covers surgery to repair a damaged vena cava, the major vein carrying blood back to the heart.The surgeon will fix the damage, possibly using a graft (a piece of replacement vein), to restore normal blood flow.
This CPT code encompasses the surgical reconstruction of the vena cava, the body's largest vein, employing any suitable technique.The procedure involves accessing the vena cava, typically through an abdominal or chest incision, identifying the defective section, and repairing it. This might involve direct repair, patching, or grafting. The surgeon ensures adequate blood flow post-repair, often using methods like Doppler ultrasound to confirm patency.The surgical site is then closed in layers.
Example 1: A patient presents with a traumatic injury resulting in a tear in the inferior vena cava.34502 is used to describe the surgical repair of this injury using a venous graft., A patient with a congenital abnormality causing a significant narrowing (stenosis) of the superior vena cava undergoes surgical reconstruction using 34502 to restore blood flow., A patient with a tumor encroaching on the vena cava requires surgical resection of the tumor and reconstruction of the vena cava to maintain venous return. 34502 would be used to represent the reconstructive aspect of the surgery.
Detailed preoperative assessment including imaging (e.g., CT scan, venogram) to define the extent of the defect, operative report detailing the technique used (e.g., patch angioplasty, graft placement), intraoperative images (if available) showing the repair, postoperative imaging to confirm patency and absence of complications, and any pertinent pathology reports.
** Always refer to the most current CPT codebook and relevant coding guidelines for the most up-to-date information.This information is for guidance only and should not be considered exhaustive.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: Data unavailable.RVUs vary depending on geographic location, facility type, and other factors. Consult your local Medicare Administrative Contractor (MAC) for specific RVU values.
- Global Days : The global period for this procedure is not specified in the provided data. This would typically depend on the complexity of the procedure and the surgeon's judgment.
- Payment Status: Active
- Modifier TC rule: The provided information does not specify whether a Technical Component (TC) modifier is applicable. This will depend on the specific services provided and whether they are considered technical or professional.
- Fee Schedule : Historical fee schedule data is not provided.Consult your payer's historical fee schedules for relevant information.
- Specialties:Vascular Surgery, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center