How To Use CPT Code 34705

CPT 34705 describes the endovascular repair of the infrarenal aorta and/or iliac artery(ies) using an aorto-bi-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 34705?

CPT 34705 is used to describe the endovascular repair of the infrarenal aorta and/or iliac artery(ies) using an aorto-bi-iliac endograft. This procedure involves the deployment of the endograft, pre-procedure sizing and device selection, nonselective catheterization(s), radiological supervision and interpretation, and any angioplasty/stenting performed from the renal arteries to the iliac bifurcation. It is important to note that this code is specifically used for reasons other than rupture, such as aneurysm, pseudoaneurysm, dissection, or penetrating ulcer.

2. Official Description

The official description of CPT code 34705 is: ‘Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-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 assessing the patient’s condition and determining the need for endovascular repair.
2. A pre-procedure sizing and device selection is performed to ensure the appropriate endograft is chosen.
3. The provider performs nonselective catheterization(s) to access the infrarenal aorta and/or iliac artery(ies).
4. Under radiological guidance, the provider deploys the aorto-bi-iliac endograft, extending it from the level of the renal arteries to the iliac bifurcation.
5. If necessary, the provider may perform angioplasty/stenting to open up or widen the lumen of the aorta or iliac arteries.
6. All associated radiological supervision and interpretation are performed throughout the procedure.
7. The provider may also place endograft extensions in the aorta, if needed, to reinforce the artery walls.
8. Once the procedure is complete, the provider checks for any bleeding, withdraws the catheter, and closes all incisions.