CPT® Code 34713

Add-On Code

Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilateral (List separately in addition to code for primary procedure)

The CPT® Code 34713 refers to the procedure of percutaneous access and closure of the femoral artery, specifically for the delivery of an endograft through a large sheath that is 12 French or larger. This procedure is performed unilaterally and includes the use of ultrasound guidance when applicable. The femoral artery is a major blood vessel located in the thigh, and accessing it is crucial for various endovascular procedures, including the placement of endovascular prostheses or for establishing cardiopulmonary bypass. The process begins with a groin incision, which allows for the creation of a conduit to facilitate the delivery of the endograft. This is particularly important when direct cannulation of the artery is not advisable due to anatomical considerations or other clinical factors. The procedure involves careful dissection of the skin and subcutaneous tissue to expose the common femoral artery while protecting surrounding structures such as the femoral nerve and vein. Once the artery is accessed, it is clamped and incised to allow for the introduction of guidewires and the large sheath necessary for the endograft delivery. The closure of the femoral artery after the procedure is also a critical component, ensuring that the access site is properly managed to prevent complications. This code is reported separately in addition to the primary procedure, highlighting its role in the overall surgical process.