How To Use CPT Code 34501

CPT 34501 describes a specific procedure known as valvuloplasty of the femoral vein. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 34501?

CPT 34501 is a code used to describe a surgical procedure called valvuloplasty of the femoral vein. This procedure involves making an incision in the thigh to access and repair the valve of the femoral vein. It is typically performed to correct any abnormalities or dysfunction of the valve that may be causing venous insufficiency or other related conditions.

2. Official Description

The official description of CPT code 34501 is: ‘Valvuloplasty, femoral vein.’ This code specifically refers to the surgical repair of the valve in the femoral vein. It is important to note that if the procedure involves the insertion of a bioprosthetic valve into the femoral vein, a different code, 0744T, should be used.

3. Procedure

1. To perform valvuloplasty of the femoral vein, the physician begins by making an incision in the thigh to access the femoral vein valve.
2. After the incision, the physician carefully dissects the soft tissue and identifies the femoral vein and its valve.
3. If necessary, the physician may tie off vessels to ensure a clear view and access to the valve.
4. Using clamps, the physician opens the vein and proceeds with the repair of the valve.
5. In the open method, the physician uses sutures to repair the valve, ensuring proper functionality.
6. In some cases, an external method may be used, involving sutures on the outside of the vein to narrow the area and improve valve function.
7. Once the repair is complete, the physician closes the vein and the incision in the thigh.

4. Qualifying circumstances

CPT 34501 is typically performed on patients who have been diagnosed with venous insufficiency or other conditions related to dysfunction of the femoral vein valve. The procedure is performed by a qualified physician who has the necessary expertise and training in vascular surgery. It is important to note that not all patients with femoral vein valve issues will require valvuloplasty, and the decision to perform the procedure should be based on a thorough evaluation of the patient’s condition and symptoms.

5. When to use CPT code 34501

CPT code 34501 should be used when a physician performs valvuloplasty of the femoral vein to repair the valve. It is important to ensure that the procedure performed aligns with the specific description of the code. If the procedure involves the insertion of a bioprosthetic valve, a different code should be used. It is crucial to accurately document the details of the procedure to support the use of CPT code 34501.

6. Documentation requirements

When reporting CPT code 34501, the physician must provide detailed documentation that includes:

• The patient’s diagnosis and the need for valvuloplasty of the femoral vein
• A description of the procedure performed, including the specific steps taken during the surgery
• The date of the procedure
• The start and end time of the procedure
• Any additional relevant information, such as the use of specific instruments or techniques
• The physician’s signature

7. Billing guidelines

When billing for CPT code 34501, it is important to ensure that the procedure performed aligns with the specific description of the code. The physician should be qualified and have the necessary expertise in vascular surgery. It is also important to follow any specific billing guidelines provided by the payer or insurance company. It is recommended to review the documentation requirements and guidelines provided by the payer to ensure accurate and appropriate billing.

8. Historical information

CPT code 34501 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with venous insufficiency undergoes valvuloplasty of the femoral vein to repair a dysfunctional valve.
2. A physician performs valvuloplasty of the femoral vein on a patient with chronic leg swelling and pain caused by a faulty valve.
3. A patient with recurrent deep vein thrombosis undergoes valvuloplasty of the femoral vein to prevent further complications.
4. A physician performs valvuloplasty of the femoral vein on a patient with varicose veins and associated symptoms.
5. A patient with a history of venous ulcers undergoes valvuloplasty of the femoral vein to improve venous circulation and promote wound healing.
6. A physician performs valvuloplasty of the femoral vein on a patient with chronic venous insufficiency and significant edema in the lower extremities.
7. A patient with a congenital abnormality of the femoral vein valve undergoes valvuloplasty to correct the defect.
8. A physician performs valvuloplasty of the femoral vein on a patient with recurrent venous thromboembolism.
9. A patient with chronic leg pain and swelling undergoes valvuloplasty of the femoral vein to alleviate symptoms and improve quality of life.
10. A physician performs valvuloplasty of the femoral vein on a patient with a history of deep vein thrombosis and compromised venous circulation.