CPT® Code 34701

Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube 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 aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)

The procedure described by CPT® Code 34701 involves the endovascular repair of the infrarenal aorta utilizing an aorto-aortic tube endograft. This intervention is primarily indicated for conditions such as aneurysms, pseudoaneurysms, dissections, or penetrating ulcers, and is performed to prevent aortic rupture. The endovascular approach allows for a minimally invasive repair, which is advantageous compared to traditional open surgical methods. The procedure begins with pre-procedure sizing and device selection, ensuring that the endograft is appropriately sized for the patient's anatomy. Following this, nonselective catheterizations are performed, which involve the use of catheters to access the aorta without the need for selective angiography. Radiological supervision and interpretation are integral throughout the procedure, providing real-time imaging guidance to ensure accurate placement of the endograft. The endograft itself is designed to extend from the level of the renal arteries down to the aortic bifurcation, effectively sealing off the affected segment of the aorta. Additionally, any necessary angioplasty or stenting performed during the procedure is included in the coding, which further aids in stabilizing the aorta and restoring normal blood flow. This comprehensive approach not only addresses the immediate concerns of aortic integrity but also significantly reduces the risk of complications associated with aortic pathologies.