How To Use CPT Code 34808

CPT 34808 describes the endovascular placement of an iliac artery occlusion device during the same session as infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection repair. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 34808?

CPT 34808 is used to describe the endovascular placement of an occlusive device in the iliac artery during the same session as the repair of an infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection. This code is an add-on procedure and should be reported in addition to the primary procedure code.

2. Official Description

The official description of CPT code 34808 is: ‘Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure).’ This code should be used in conjunction with specific primary procedure codes listed in the notes section.

3. Procedure

1. During the repair of an infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection, the healthcare provider inserts an occlusion device, such as a balloon, into the iliac artery.
2. The occlusion device is expanded in the artery to temporarily cut off blood flow.
3. Fluoroscopic guidance is used to visualize the procedure and ensure accurate placement of the occlusion device.
4. The healthcare provider may use additional materials to embolize the artery and stop blood flow.

4. Qualifying circumstances

CPT 34808 is performed during the repair of an infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection. The occlusion device is placed in the iliac artery to temporarily cut off blood flow. This procedure is typically performed by a healthcare provider who specializes in endovascular interventions.

5. When to use CPT code 34808

CPT code 34808 should be used when the endovascular placement of an iliac artery occlusion device is performed during the same session as the repair of an infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection. This code should only be reported in addition to the primary procedure code and should not be reported alone.

6. Documentation requirements

To support a claim for CPT code 34808, the healthcare provider must document the following information:

• The primary procedure performed (infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection repair)
• The use of an occlusion device in the iliac artery
• The date and time of the procedure
• Any additional materials used to embolize the artery
• Fluoroscopic guidance used during the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 34808, ensure that the procedure is performed during the same session as the repair of an infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection. This code should be reported in addition to the primary procedure code and should not be reported alone. It is important to follow the specific billing guidelines provided by the payer to ensure accurate reimbursement.

8. Historical information

CPT code 34808 was added to the Current Procedural Terminology system on January 1, 2001. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A healthcare provider performs the endovascular repair of an infrarenal abdominal aortic aneurysm and places an occlusion device in the iliac artery during the same session.
2. During the repair of an iliac artery dissection, the healthcare provider inserts an occlusion device in the iliac artery to temporarily cut off blood flow.
3. A patient undergoes endovascular repair of a false aneurysm in the iliac artery, and an occlusion device is placed during the procedure.
4. During the repair of an infrarenal abdominal aortic aneurysm, the healthcare provider embolizes the iliac artery using an occlusion device.
5. A healthcare provider performs the endovascular repair of an iliac artery aneurysm and places an occlusion device in the artery to stop blood flow.