How To Use CPT Code 34707

CPT 34707 describes the endovascular repair of the iliac artery using an ilio-iliac tube 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 34707?

CPT 34707 can be used to describe the endovascular repair of the iliac artery using an ilio-iliac tube endograft. This code covers the deployment of the endograft, pre-procedure sizing and device selection, nonselective catheterization, radiological supervision and interpretation, and any necessary angioplasty or stenting. It is important to note that this code is specifically for cases other than rupture, such as aneurysm, pseudoaneurysm, dissection, or arteriovenous malformation.

2. Official Description

The official description of CPT code 34707 is: ‘Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation).’ It is important to note that covered stent placements for atherosclerotic occlusive disease of the abdominal aorta or iliac artery have separate CPT codes.

3. Procedure

1. The provider begins by assessing the patient’s condition and determining the need for endovascular repair of the iliac artery.
2. An incision is made in the groin area to access the aorta and iliac arteries.
3. The provider may perform angioplasty or place a stent to widen the lumen of the iliac artery.
4. Under imaging guidance, a catheter is inserted into the iliac artery.
5. The provider then deploys the ilio-iliac tube endograft through the catheter and positions it across the defect in the iliac artery.
6. If necessary, the provider may use endograft extensions to reach the aortic bifurcation and iliac bifurcation.
7. The endograft reinforces the artery walls and restores blood flow.
8. The catheter is withdrawn, and the provider checks for any bleeding before closing the incisions.

4. Qualifying circumstances

CPT 34707 is used for endovascular repair of the iliac artery in cases other than rupture. This includes conditions such as aneurysm, pseudoaneurysm, dissection, or arteriovenous malformation. The procedure is performed by a provider who is skilled in endovascular surgery and has the necessary expertise to select and deploy the ilio-iliac tube endograft. The patient must meet the criteria for the specific condition being treated and must require endovascular repair as determined by the provider.

5. When to use CPT code 34707

CPT code 34707 should be used when the provider performs endovascular repair of the iliac artery using an ilio-iliac tube endograft for conditions other than rupture. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If the procedure is performed for atherosclerotic occlusive disease of the abdominal aorta or iliac artery, separate CPT codes should be used.

6. Documentation requirements

To support a claim for CPT code 34707, the provider must document the following information:

• Patient’s diagnosis and the need for endovascular repair of the iliac artery
• Details of the procedure, including pre-procedure sizing, device selection, and any angioplasty or stenting performed
• Date of the procedure and the duration of the intervention
• Any endograft extensions used and their location
• Radiological supervision and interpretation
• Any complications or adverse events encountered during the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 34707, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should be skilled in endovascular surgery and have the necessary expertise to perform the procedure. It is also important to note that covered stent placements for atherosclerotic occlusive disease of the abdominal aorta or iliac artery have separate CPT codes. Therefore, CPT code 34707 should not be reported for these conditions. It is recommended to review the specific billing guidelines and requirements of the payer to ensure accurate and appropriate billing.

8. Historical information

CPT code 34707 was added to the Current Procedural Terminology system on January 1, 2018. There have been no updates to the code since its addition. It is important to stay updated with any changes or revisions to the code in order to ensure accurate reporting and billing.

9. Examples

1. A patient undergoes endovascular repair of the iliac artery using an ilio-iliac tube endograft for the treatment of an iliac artery aneurysm.