2025 CPT code 34717
(Active) Effective Date: N/A Revision Date: N/A Surgery - Endovascular Repair Procedures of the Abdominal Aorta and/or Iliac Arteries Surgical Procedures on Arteries and Veins Feed
Endovascular repair of unilateral iliac artery during aorto-iliac artery endograft placement using an iliac branched endograft; includes pre-procedure planning, ipsilateral selective catheterization, radiological supervision, endograft extensions, and angioplasty/stenting (when performed).
Modifier 50 (bilateral procedure) is not applicable with 34717.Other modifiers may be applicable depending on the circumstances of the procedure.
The medical necessity for 34717 is established by the presence of an iliac artery aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, penetrating ulcer, or traumatic disruption requiring endovascular repair. The procedure should be deemed medically necessary based on clinical presentation and imaging findings.
The vascular surgeon is responsible for performing the procedure, including pre-procedure planning, catheterization, endograft placement, angioplasty/stenting (if necessary), and post-procedure assessment.This requires expertise in interventional radiology and vascular surgery.
- Surgical Procedures on Arteries and Veins
- Surgical Procedures on Arteries and Veins > Endovascular Repair Procedures of the Abdominal Aorta and/or Iliac Arteries
In simple words: This code describes a procedure where, during the placement of a graft in the main artery of the abdomen and pelvis (aorto-iliac artery), a special branched graft is also placed in a smaller artery in the pelvis (iliac artery) on one side of the body to fix a tear or other problem.The procedure includes planning, imaging, placing the graft, and any necessary additional treatments.
This CPT code, 34717, reports the endovascular repair of the iliac artery on one side of the body, performed concurrently with aorto-iliac artery endograft placement.The procedure involves deploying an iliac branched endograft, encompassing pre-procedural steps like sizing and device selection, all ipsilateral selective iliac artery catheterizations, comprehensive radiological supervision and interpretation (RS&I), all necessary endograft extensions (proximally to the aortic bifurcation and distally into the internal iliac, external iliac, and common femoral arteries), and any required angioplasty or stenting within the treatment zone. This code is reported as an add-on, in addition to the primary aorto-iliac artery endograft placement code (34703, 34704, 34705, or 34706).
Example 1: A 70-year-old male presents with a ruptured abdominal aortic aneurysm extending into the right iliac artery.The surgeon performs an endovascular repair using an aorto-bi-iliac endograft (34706) and additionally utilizes code 34717 to report the branched endograft placement in the right iliac artery., A 65-year-old female with a large iliac artery aneurysm on her left side undergoes aorto-iliac endograft placement (34704).Due to the complexity, a branched endograft is placed in the left iliac artery, requiring the additional reporting of 34717., A 75-year-old male patient presents with a dissection of the infrarenal aorta extending into the right common iliac artery.During the placement of an aorto-uni-iliac endograft (34703), the surgeon utilizes a branched endograft in the right iliac artery and reports 34717.
Detailed operative report including pre-operative imaging (angiography, CT), description of the endograft system used, location and extent of the repair, details on the branched iliac endograft placement, angioplasty/stenting performed, post-operative angiography results, and any complications encountered.
** This add-on code should only be used when the branched iliac endograft placement is performed during the same operative session as the aorto-iliac endograft placement.For separate procedures, use CPT code 34718.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center