How To Use CPT Code 34714

CPT 34714 describes the creation of a conduit for the delivery of an endovascular prosthesis or for the establishment of cardiopulmonary bypass through an open femoral artery exposure. 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 34714?

CPT 34714 can be used to describe the procedure in which a healthcare provider creates a conduit in the femoral artery to facilitate the delivery of an endovascular prosthesis or the establishment of cardiopulmonary bypass. This code is used when the provider makes an incision in the groin and exposes the femoral artery to create the necessary conduit.

2. Official Description

The official description of CPT code 34714 is: ‘Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (List separately in addition to code for primary procedure).’ This code should be used in conjunction with the primary procedure code for the endovascular repair or heart procedure requiring cardiopulmonary bypass.

3. Procedure

1. The healthcare provider prepares the patient and makes an incision in the groin over the femoral artery.
2. Tissue dissection, vessel ligation, and ligament retraction may be performed as necessary to expose the femoral artery.
3. A conduit is created in the femoral artery to provide better access for the placement of an endovascular prosthesis or for the establishment of cardiopulmonary bypass.
4. After the completion of the primary procedure, the provider closes the arterial incision and the groin incision in layers using sutures.

4. Qualifying circumstances

CPT 34714 is used when a conduit is created in the femoral artery for the delivery of an endovascular prosthesis or for the establishment of cardiopulmonary bypass. This procedure is typically performed during a primary endovascular repair or a heart procedure that requires cardiopulmonary bypass. It is important to note that CPT 34714 should not be reported with certain other codes, as specified in the notes.

5. When to use CPT code 34714

CPT code 34714 should be used when a healthcare provider performs an open femoral artery exposure and creates a conduit for the delivery of an endovascular prosthesis or for the establishment of cardiopulmonary bypass. This code should be reported in addition to the primary procedure code for the endovascular repair or heart procedure requiring cardiopulmonary bypass.

6. Documentation requirements

To support a claim for CPT 34714, the healthcare provider must document the following information:

• Indication for the creation of the conduit
• Details of the procedure, including the incision site and the steps performed
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 34714, ensure that the procedure meets the criteria for the creation of a conduit in the femoral artery for the delivery of an endovascular prosthesis or for the establishment of cardiopulmonary bypass. This code should be reported in addition to the primary procedure code. It is important to review the notes and guidelines to determine if any other codes should be reported or if modifiers should be used.

8. Historical information

CPT 34714 was added to the Current Procedural Terminology system on January 1, 2018. There have been no updates to the code since its addition.

9. Examples

1. A surgeon performs an open femoral artery exposure and creates a conduit for the delivery of an endovascular prosthesis during an endovascular repair of the abdominal aorta.
2. A cardiac surgeon establishes cardiopulmonary bypass by creating a conduit in the femoral artery during a heart procedure.
3. A vascular surgeon performs an open femoral artery exposure and creates a conduit for the delivery of an endovascular prosthesis during an endovascular repair of the iliac arteries.
4. A cardiothoracic surgeon establishes cardiopulmonary bypass by creating a conduit in the femoral artery during a heart procedure.
5. An interventional radiologist performs an open femoral artery exposure and creates a conduit for the delivery of an endovascular prosthesis during an endovascular repair of the abdominal aorta.
6. A vascular surgeon establishes cardiopulmonary bypass by creating a conduit in the femoral artery during a heart procedure.
7. A cardiovascular surgeon performs an open femoral artery exposure and creates a conduit for the delivery of an endovascular prosthesis during an endovascular repair of the iliac arteries.
8. A cardiac surgeon establishes cardiopulmonary bypass by creating a conduit in the femoral artery during a heart procedure.
9. An interventional radiologist performs an open femoral artery exposure and creates a conduit for the delivery of an endovascular prosthesis during an endovascular repair of the abdominal aorta.
10. A vascular surgeon establishes cardiopulmonary bypass by creating a conduit in the femoral artery during a heart procedure.