How To Use CPT Code 34520

CPT 34520 describes a procedure known as cross-over vein graft to the venous system. This article will provide an overview of CPT code 34520, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 34520?

CPT 34520 is a code used to describe a specific surgical procedure called cross-over vein graft to the venous system. This procedure involves making incisions over two veins and then dividing one of the veins and attaching it to the other vein. The purpose of this procedure is to restore normal blood flow through the veins.

2. Official Description

The official description of CPT code 34520 is: ‘Cross-over vein graft to venous system.’

3. Procedure

1. During the procedure, the healthcare provider will make incisions over the two veins involved.
2. One of the veins will be divided, and the provider will attach it to the other vein.
3. The provider will place clamps at the proximal and distal ends of the second vein.
4. The second vein will be divided, with one end tied off and the other end passed through a channel to the other vein.
5. The provider will ensure normal blood flow in the vein, possibly using a Doppler probe.
6. The incisions will be closed with sutures in layers.

4. Qualifying circumstances

CPT 34520 is typically performed on patients who require a cross-over vein graft to restore normal blood flow in the venous system. The procedure may be necessary for patients with certain conditions or diseases affecting their veins. It is important to note that the procedure should be performed by a qualified healthcare provider with the necessary expertise in performing cross-over vein grafts.

5. When to use CPT code 34520

CPT code 34520 should be used when a healthcare provider performs a cross-over vein graft to the venous system. It is important to accurately document the procedure and ensure that it meets the criteria outlined in the official description of the code.

6. Documentation requirements

To support a claim for CPT code 34520, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for a cross-over vein graft
• Details of the procedure, including the specific veins involved and the steps taken
• Date of the procedure
• Any additional relevant information or findings during the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 34520, it is important to ensure that the procedure meets the criteria outlined in the official description. The healthcare provider should also follow any specific billing guidelines provided by the payer. It is important to accurately code and document the procedure to avoid any potential billing or reimbursement issues.

8. Historical information

CPT code 34520 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 healthcare provider performs a cross-over vein graft to restore normal blood flow in a patient with venous insufficiency.
2. During a surgical procedure, a surgeon performs a cross-over vein graft to treat a patient with deep vein thrombosis.
3. A vascular specialist performs a cross-over vein graft to address venous stenosis in a patient.
4. A patient with chronic venous disease undergoes a cross-over vein graft procedure to improve blood flow in the venous system.
5. A healthcare provider performs a cross-over vein graft to treat a patient with varicose veins and restore normal venous circulation.