2025 CPT code 34705
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Endovascular repair of infrarenal aorta and/or iliac artery(ies) using an aorto-bi-iliac endograft for non-ruptured conditions.
Modifiers may apply. See a modifier guide for specific scenarios. For example, modifier 50 is used for bilateral procedures.
Medical necessity is established by documenting the presence of a condition requiring intervention, such as an aneurysm, pseudoaneurysm, dissection, or penetrating ulcer. The size, location, and symptoms related to the condition should be documented. If the condition is asymptomatic, risk factors for rupture should be assessed and documented.
Performed by a vascular surgeon or interventional radiologist. Responsibilities include pre-operative assessment, device selection, performing the endovascular procedure, post-operative care, and management of potential complications.
In simple words: A minimally invasive procedure to repair the lower part of the aorta and/or iliac arteries using a Y-shaped graft, typically for aneurysms, pseudoaneurysms, dissections, or ulcers that haven't ruptured. The procedure involves inserting a catheter through a small incision, guiding the graft to the affected area, and expanding it to reinforce the weakened artery walls. This procedure includes sizing, device selection, catheterization, imaging, graft extensions within the specified range, and any necessary angioplasty or stenting.
Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer).
Example 1: A 65-year-old male presents with an asymptomatic infrarenal aortic aneurysm. Imaging reveals the aneurysm is suitable for endovascular repair with an aorto-bi-iliac endograft., A 70-year-old female with a history of hypertension and smoking presents with a symptomatic iliac artery aneurysm causing pain. She is deemed a high-risk surgical candidate, and endovascular repair with aorto-bi-iliac endograft is chosen., A 55-year-old male presents with an aortic dissection. Imaging shows that the dissection is limited to the infrarenal aorta. Endovascular repair with an aorto-bi-iliac endograft is performed.
Pre- and post-operative imaging reports, operative report detailing the procedure, device information (type, size, location), details of any angioplasty or stenting performed, and documentation of medical necessity including symptoms, risk factors, and failed conservative management if applicable.
- RVU: Refer to current Physician Fee Schedule
- Global Days: Refer to current Physician Fee Schedule
- Payment Status: Active
- Fee Schedule: Refer to historical Physician Fee Schedules.
- Specialties:Vascular Surgery, Interventional Radiology, Cardiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center