CPT® Code 34708

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 rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption)

The CPT® Code 34708 refers to the endovascular repair of the iliac artery utilizing an ilio-iliac tube endograft. This procedure is designed to address conditions such as ruptures, aneurysms, pseudoaneurysms, dissections, arteriovenous malformations, and traumatic disruptions of the iliac artery. The endovascular approach allows for a minimally invasive intervention, which is advantageous in reducing recovery time and complications compared to traditional open surgical methods. The procedure involves several critical steps, including pre-procedure sizing and device selection, which are essential for ensuring the appropriate fit and function of the endograft. Additionally, it encompasses all nonselective catheterizations, which are necessary for accessing the vascular system, as well as the associated radiological supervision and interpretation required to guide the procedure effectively. The deployment of the endograft extends proximally to the aortic bifurcation and distally to the iliac bifurcation, ensuring comprehensive coverage of the affected area. In cases where treatment zone angioplasty or stenting is performed, these actions are also included in the procedure. Furthermore, the code accounts for the management of ruptures, which may involve temporary balloon occlusion of the aorta and/or iliac artery to control bleeding and stabilize the patient during the repair process.