2025 CPT code 34711
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Cardiovascular System - Endovascular Procedures Surgery Feed
Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration; each additional vessel treated.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., modifier 50 for bilateral procedures). Consult the most recent CPT guidelines for specific modifier usage.
Medical necessity is established by the presence of an endoleak, endograft migration, aneurysm expansion, or dissection after an initial EVAR.Documentation must clearly justify the need for additional endograft extension to prevent further complications and improve patient outcomes.This often requires comparative imaging demonstrating the progression of the condition.
The physician is responsible for pre-procedure planning, including sizing and selecting the appropriate endograft extension. They perform the procedure under imaging guidance, placing the extension(s) and ensuring proper positioning and expansion.Post-procedure imaging is performed to confirm placement and identify any complications.The physician is also responsible for managing any complications that may arise during or after the procedure.
In simple words: This code covers a follow-up procedure to fix a problem with a previous artery repair.A small tube is added to an existing one in the abdomen or groin area to reinforce the repair, addressing issues like a leak or movement of the original implant.This code applies for each additional artery needing this additional tube.
This CPT code, 34711, represents the delayed placement of a distal or proximal extension prosthesis for the endovascular repair of an infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration.The procedure encompasses pre-procedure sizing and device selection, all nonselective catheterizations, associated radiological supervision and interpretation, and treatment zone angioplasty/stenting (when performed). This code is reported for each additional vessel treated beyond the initial vessel addressed.It is crucial to note that this code can only be reported once per operative session, even if multiple endograft extensions are placed within a single vessel.This code is used in conjunction with code 34710.
Example 1: A patient underwent an initial endovascular aneurysm repair (EVAR) six months prior.A follow-up CT scan reveals an endoleak requiring additional endograft extension placement.The physician uses 34711 to report the placement of an extension in the common iliac artery., A patient presents with symptoms consistent with an endograft migration.After imaging, it's determined that the endograft has migrated and requires proximal extension.Code 34711 is used to bill for the placement of this additional extension., A patient who previously had an EVAR now exhibits a dissection above the initial graft. The physician performs a delayed extension to secure the aneurysm, using 34711 for each additional vessel treated after the first.
Detailed patient history, pre-operative imaging (CT scan, angiography), operative report documenting the placement of each extension, post-operative imaging (angiography) showing correct position and absence of endoleak, and any relevant complications.
** This code includes nonselective catheterization, angioplasty or stenting, device selection, and radiological supervision and interpretation when performed.Remember that multiple extensions placed in a single vessel are only coded once.Consult current CPT guidelines for the most up-to-date information and billing practices.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Vascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center