2025 CPT code 34703
(Active) Effective Date: N/A Revision Date: N/A Vascular Surgery - Endovascular Repair Procedures of the Abdominal Aorta and/or Iliac Arteries Surgery Feed
Endovascular repair of the infrarenal aorta and/or iliac artery using an aorto-uni-iliac endograft for non-ruptured conditions.
Modifiers may be applied based on the specific circumstances of the procedure. Consult the CPT manual for details and your payer for their specific requirements.
Medical necessity for this procedure is established when the patient presents with an infrarenal aortic or iliac artery aneurysm (or similar condition as listed above) that meets specific size criteria established by clinical guidelines and consensus statements.A ruptured aneurysm would necessitate a different CPT code.
The vascular surgeon is primarily responsible for performing the endovascular repair, including pre-procedure planning, device selection, and deployment of the endograft.A radiologist may assist with imaging and guidance during the procedure.Anesthesiologists and other members of the surgical team provide support.
In simple words: This code describes a minimally invasive surgery to repair a weakened or damaged area in the main artery of the abdomen (aorta) or one of its branches leading to the legs. A special tube-like device is inserted through a small incision in the groin to reinforce the weakened artery wall and improve blood flow.This is for cases where the artery hasn't burst open.
This CPT code encompasses the endovascular repair of the infrarenal aorta and/or unilateral iliac artery(ies) through the deployment of an aorto-uni-iliac endograft.The procedure includes pre-procedure sizing and device selection, all non-selective catheterizations, associated radiological supervision and interpretation, all endograft extensions from the renal arteries to the iliac bifurcation, and any angioplasty/stenting performed within this area. This code is specifically for cases where the aneurysm, pseudoaneurysm, dissection, or penetrating ulcer is not ruptured.
Example 1: A 70-year-old male presents with an infrarenal abdominal aortic aneurysm (AAA) that is not ruptured. The patient undergoes an endovascular repair with aorto-uni-iliac endograft deployment.No additional procedures were necessary., A 65-year-old female presents with a unilateral common iliac artery aneurysm without rupture.The patient undergoes an endovascular repair using an aorto-uni-iliac endograft.Pre-operative angioplasty of the iliac artery was performed to facilitate endograft placement., A 75-year-old male presents with an infrarenal aortic aneurysm and a common iliac artery dissection. Both lesions are not ruptured and are addressed using an aorto-uni-iliac endograft. The patient also required a stent placement in the right renal artery to preserve blood flow.
* Comprehensive patient history, including risk factors for AAA.* Physical examination findings, including auscultation for bruits.* Relevant imaging studies (e.g., CTA, MRI) with detailed measurements of the aneurysm.* Documentation of pre-procedure planning and device selection.* Intraoperative images confirming endograft placement and exclusion of the aneurysm.* Postoperative imaging studies (e.g., CTA) to assess for endoleaks or other complications.* Operative report detailing the technique and all procedures performed.* Discharge instructions and follow-up plan.
** Accurate coding requires careful review of the operative report and imaging studies to ensure that the reported code accurately reflects the extent of the procedure and the specific anatomy involved.The use of this code is dependent on the specific type of endograft, anatomy treated, and the presence or absence of rupture.
- RVU: The RVUs will vary depending on the specific circumstances of the procedure, including facility type and geographic location.Consult the AMA's CPT resource or your local payer for current RVU values.
- Global Days: The global period for this procedure is typically 90 days post-procedure, encompassing all related services.Check payer-specific policies for any variations.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code.
- Fee Schedule: Historical fee schedules vary widely by location and payer.For specific historical data, consult your payer's historical fee schedules or relevant databases.
- Specialties:Vascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital