How To Use CPT Code 34703

CPT 34703 describes the endovascular repair of the infrarenal aorta and/or iliac artery(ies) using an aorto-uni-iliac endograft. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 34703?

CPT 34703 is used to describe the endovascular repair of the infrarenal aorta and/or iliac artery(ies) using an aorto-uni-iliac endograft. This procedure is performed to treat conditions such as aneurysms, pseudoaneurysms, dissections, or penetrating ulcers in the aorta or iliac arteries. It involves the deployment of the endograft, pre-procedure sizing and device selection, nonselective catheterization(s), angioplasty/stenting, and all associated radiological supervision and interpretation.

2. Official Description

The official description of CPT code 34703 is: ‘Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)’

3. Procedure

1. The provider begins by making an incision in the groin area and exposing the infrarenal aorta and/or iliac artery(ies).
2. Using imaging guidance, the provider inserts a catheter into the artery and advances it to the site of the aneurysm, pseudoaneurysm, dissection, or penetrating ulcer.
3. A nonselective catheterization is performed to ensure proper access to the targeted area.
4. The provider selects and deploys an aorto-uni-iliac endograft, which extends from inside the aorta down one limb of the iliac arteries.
5. If necessary, the provider performs angioplasty or places a stent to open up or widen the lumen of the aorta or iliac arteries.
6. Additional endograft extensions may be placed in the aorta from the level of the renal arteries to the iliac bifurcation.
7. All radiological supervision and interpretation are performed to ensure the success of the procedure.
8. The provider withdraws the catheter, checks for any bleeding, and closes all incisions.