2025 CPT code 34707
(Active) Effective Date: N/A Revision Date: N/A Vascular Surgery - Endovascular Procedures Surgery Feed
Endovascular repair of a unilateral iliac artery using an ilio-iliac tube endograft, excluding rupture or injury.
Modifiers 50 (bilateral procedure) and others may be applicable depending on the circumstances of the procedure. Refer to the CPT manual for detailed modifier usage guidelines.
Medical necessity is established when the patient presents with an iliac artery pathology (aneurysm, pseudoaneurysm, dissection, arteriovenous malformation) that poses a significant risk of rupture or thromboembolic complications. The endovascular approach may be preferred to open surgery when the patient's overall health status warrants a less invasive procedure.
The physician is responsible for pre-operative planning, including device selection and sizing.They perform the endovascular procedure under fluoroscopic guidance, deploying the ilio-iliac tube endograft and any necessary extensions.Post-operative monitoring and follow-up care are also part of the clinical responsibility.
In simple words: The doctor repairs a damaged iliac artery (a major blood vessel in the pelvis) on one side of the body using a small tube-like device inserted through a blood vessel in the groin. This is done without open surgery and fixes problems like bulging artery walls (aneurysm) or tears in the artery wall, but not for injuries or ruptures.
This CPT code encompasses the endovascular repair of a unilateral iliac artery using an ilio-iliac tube endograft.The procedure includes pre-procedure sizing and device selection, all nonselective catheterizations, angioplasty/stenting (if performed), any endograft extensions from the aortic bifurcation down to the iliac bifurcation, and all associated radiological supervision and interpretation.This code is specifically for cases not involving rupture or injury (e.g., aneurysm, pseudoaneurysm, dissection, arteriovenous malformation).
Example 1: A 65-year-old male presents with an asymptomatic iliac artery aneurysm detected on routine screening.The physician performs an endovascular repair using 34707., A 72-year-old female presents with symptoms suggestive of iliac artery stenosis. Angiography reveals a significant dissection of the left common iliac artery. The physician uses an ilio-iliac endograft (34707) to treat the dissection., A 58-year-old male experiences an iliac artery pseudoaneurysm following a previous surgical procedure.The physician chooses endovascular repair using code 34707.
Pre-operative angiography to assess the anatomy and plan the procedure; intra-operative fluoroscopy to guide endograft deployment; post-operative imaging (angiogram) to assess the result and detect any endoleaks.
** This code does not include the treatment of ruptured aneurysms.For ruptured aneurysms, use code 34708.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Vascular Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient