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The procedure described by CPT® Code 34714 involves the surgical exposure of the femoral artery through a groin incision, with the primary purpose of creating a conduit. This conduit serves two main functions: it facilitates the delivery of an endovascular prosthesis or establishes a pathway for cardiopulmonary bypass. The term "conduit" refers to a channel or passage that allows for the movement of blood or other fluids, particularly when direct access to the artery is not advisable due to various clinical considerations. The procedure begins with an incision in the skin over the groin area, followed by careful dissection of the subcutaneous tissue to reach the common femoral artery. During this dissection, it is crucial to protect surrounding structures, including the femoral nerve and vein, to prevent complications. The common femoral artery, along with its branches—the superficial and deep femoral arteries—are meticulously freed from surrounding tissue and secured with vessel loops for better visibility and access. In some cases, the distal external iliac artery may also be dissected, which may necessitate the retraction or division of the inguinal ligament. Once the artery is adequately exposed, small branch arteries are ligated or cauterized to minimize bleeding. The femoral artery is then clamped and incised to allow for the tailored selection and anastomosis of the conduit. This conduit is clamped, and the previously placed clamps on the femoral artery are removed, ensuring that any vascular leaks at the anastomosis site are reinforced with sutures. If the conduit is intended for cardiopulmonary bypass, it is sewn to the femoral artery after the administration of heparin, followed by the connection to an arterial cannula. A venous cannula may also be placed to establish cardiopulmonary bypass. After the procedure is completed, the graft conduit may either remain in place with the distal end anastomosed to the femoral artery or be cut short with the stump closed using sutures. It is important to note that if the procedure involves puncturing the groin for percutaneous access to the femoral artery, this is reported separately under CPT® Code 34713.
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The procedure described by CPT® Code 34714 is indicated for specific clinical scenarios where access to the femoral artery is necessary for further interventions. The following conditions may warrant this procedure:
The procedure involves several critical steps to ensure proper access and conduit creation:
After the completion of the procedure, careful monitoring is essential to assess for any complications, such as bleeding or infection at the incision site. The patient may require postoperative imaging to evaluate the patency of the conduit and the success of the anastomosis. Recovery may involve pain management and gradual mobilization, with specific instructions provided based on the individual patient's condition and the extent of the surgical intervention. Follow-up appointments will be necessary to monitor the patient's recovery and the function of the conduit or endovascular prosthesis.
| Short Descr | OPN FEM ART EXPOS CNDT CRTJ | Medium Descr | OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH | Long Descr | 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) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 32852 | MPFS Status: Active Code APC C Illustration for Code Lung transplant, single; with cardiopulmonary bypass | 32854 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass | 33031 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Pericardiectomy, subtotal or complete; with cardiopulmonary bypass | 33120 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Excision of intracardiac tumor, resection with cardiopulmonary bypass | 33251 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass | 33256 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass | 33259 | Addon Code MPFS Status: Active Code APC C Illustration for Code Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to code for primary procedure) | 33261 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass | 33305 | MPFS Status: Active Code APC C Physician Quality Reporting Repair of cardiac wound; with cardiopulmonary bypass | 33315 | MPFS Status: Active Code APC C Physician Quality Reporting Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass | 33322 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Suture repair of aorta or great vessels; with cardiopulmonary bypass | 33335 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Insertion of graft, aorta or great vessels; with cardiopulmonary bypass | 33390 | MPFS Status: Active Code APC C Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) | 33391 | MPFS Status: Active Code APC C Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) | 33404 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Construction of apical-aortic conduit | 33405 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve | 33406 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) | 33410 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve | 33411 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus | 33412 | MPFS Status: Active Code APC C Illustration for Code Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) | 33413 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) | 33414 | MPFS Status: Active Code APC C Illustration for Code Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract | 33415 | MPFS Status: Active Code APC C Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis | 33416 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) | 33417 | MPFS Status: Active Code APC C Illustration for Code Aortoplasty (gusset) for supravalvular stenosis | 33422 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvotomy, mitral valve; open heart, with cardiopulmonary bypass | 33425 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Valvuloplasty, mitral valve, with cardiopulmonary bypass; | 33426 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring | 33427 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring | 33430 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Replacement, mitral valve, with cardiopulmonary bypass | 33440 | Resequenced Code MPFS Status: Active Code APC C Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure) | 33460 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvectomy, tricuspid valve, with cardiopulmonary bypass | 33463 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, tricuspid valve; without ring insertion | 33464 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, tricuspid valve; with ring insertion | 33465 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Replacement, tricuspid valve, with cardiopulmonary bypass | 33468 | MPFS Status: Active Code APC C Tricuspid valve repositioning and plication for Ebstein anomaly | 33474 | MPFS Status: Active Code APC C Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass | 33475 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, pulmonary valve | 33476 | MPFS Status: Active Code APC C Illustration for Code Right ventricular resection for infundibular stenosis, with or without commissurotomy | 33478 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection | 33496 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) | 33500 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass | 33502 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of anomalous coronary artery from pulmonary artery origin; by ligation | 33504 | MPFS Status: Active Code APC C Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass | 33505 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) | 33506 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta | 33507 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation | 33510 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; single coronary venous graft | 33511 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 2 coronary venous grafts | 33512 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 3 coronary venous grafts | 33513 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 4 coronary venous grafts | 33514 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Coronary artery bypass, vein only; 5 coronary venous grafts | 33516 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 6 or more coronary venous grafts | 33533 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Coronary artery bypass, using arterial graft(s); single arterial graft | 33534 | MPFS Status: Active Code APC C Physician Quality Reporting Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts | 33535 | MPFS Status: Active Code APC C Physician Quality Reporting Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts | 33536 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts | 33542 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Myocardial resection (eg, ventricular aneurysmectomy) | 33545 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Repair of postinfarction ventricular septal defect, with or without myocardial resection | 33548 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) | 33600 | MPFS Status: Active Code APC C CPT Assistant Article Closure of atrioventricular valve (mitral or tricuspid) by suture or patch | 33602 | MPFS Status: Active Code APC C Illustration for Code Closure of semilunar valve (aortic or pulmonary) by suture or patch | 33606 | MPFS Status: Active Code APC C Illustration for Code Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) | 33608 | MPFS Status: Active Code APC C Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery | 33610 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect | 33611 | Modifier 63 Exempt MPFS Status: Active Code APC C Repair of double outlet right ventricle with intraventricular tunnel repair; | 33612 | MPFS Status: Active Code APC C Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction | 33615 | MPFS Status: Active Code APC C Illustration for Code Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) | 33617 | MPFS Status: Active Code APC C Illustration for Code Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure | 33619 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) | 33620 | MPFS Status: Active Code APC C Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) | 33621 | MPFS Status: Active Code APC C Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) | 33622 | MPFS Status: Active Code APC C Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of cavopulmonary anastomosis, and removal of right and left pulmonary bands (eg, hybrid approach stage 2, Norwood, bidirectional Glenn, pulmonary artery debanding) | 33641 | MPFS Status: Active Code APC C Illustration for Code Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch | 33645 | MPFS Status: Active Code APC C Illustration for Code Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage | 33647 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Repair of atrial septal defect and ventricular septal defect, with direct or patch closure | 33660 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair | 33665 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair | 33670 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Repair of complete atrioventricular canal, with or without prosthetic valve | 33675 | MPFS Status: Active Code APC C Illustration for Code Closure of multiple ventricular septal defects; | 33676 | MPFS Status: Active Code APC C Illustration for Code Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) | 33677 | MPFS Status: Active Code APC C Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset | 33681 | Changed Code for 2025 MPFS Status: Active Code APC C Illustration for Code Closure of single ventricular septal defect, with or without patch; | 33684 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) | 33688 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset | 33692 | Changed Code for 2025 MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Complete repair tetralogy of Fallot without pulmonary atresia; | 33694 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch | 33697 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect | 33702 | MPFS Status: Active Code APC C Illustration for Code Repair sinus of Valsalva fistula, with cardiopulmonary bypass; | 33710 | MPFS Status: Active Code APC C Illustration for Code Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect | 33720 | MPFS Status: Active Code APC C Illustration for Code Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass | 33724 | MPFS Status: Active Code APC C Illustration for Code Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) | 33726 | MPFS Status: Active Code APC C Illustration for Code Repair of pulmonary venous stenosis | 33730 | Modifier 63 Exempt MPFS Status: Active Code APC C Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) | 33732 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane | 33736 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Atrial septectomy or septostomy; open heart with cardiopulmonary bypass | 33750 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) | 33755 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Shunt; ascending aorta to pulmonary artery (Waterston type operation) | 33762 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) | 33764 | MPFS Status: Active Code APC C Illustration for Code Shunt; central, with prosthetic graft | 33766 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) | 33767 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) | 33770 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect | 33771 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect | 33774 | Changed Code for 2025 MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; | 33775 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band | 33776 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect | 33777 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction | 33778 | Changed Code for 2025 Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); | 33779 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band | 33780 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect | 33781 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction | 33782 | MPFS Status: Active Code APC C Illustration for Code Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation | 33783 | MPFS Status: Active Code APC C Illustration for Code Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia | 33786 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Total repair, truncus arteriosus (Rastelli type operation) | 33788 | MPFS Status: Active Code APC C Reimplantation of an anomalous pulmonary artery | 33802 | Changed Code for 2025 MPFS Status: Active Code APC C Division of aberrant vessel (vascular ring); | 33803 | MPFS Status: Active Code APC C Division of aberrant vessel (vascular ring); with reanastomosis | 33814 | Changed Code for 2025 MPFS Status: Active Code APC C Illustration for Code Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass | 33820 | MPFS Status: Active Code APC C Repair of patent ductus arteriosus; by ligation | 33822 | Age Edit MPFS Status: Active Code APC C Repair of patent ductus arteriosus; by division, younger than 18 years | 33824 | Age Edit MPFS Status: Active Code APC C Repair of patent ductus arteriosus; by division, 18 years and older | 33840 | MPFS Status: Active Code APC C Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis | 33845 | MPFS Status: Active Code APC C Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft | 33851 | MPFS Status: Active Code APC C Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement | 33853 | MPFS Status: Active Code APC C CPT Assistant Article Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass | 33858 | MPFS Status: Active Code APC C Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection | 33859 | MPFS Status: Active Code APC C Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) | 33863 | MPFS Status: Active Code APC C CPT Assistant Article Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) | 33864 | MPFS Status: Active Code APC C Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) | 33871 | MPFS Status: Active Code APC C Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation) | 33875 | MPFS Status: Active Code APC C Descending thoracic aorta graft, with or without bypass | 33877 | MPFS Status: Active Code APC C Physician Quality Reporting Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass | 33880 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin | 33881 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin | 33883 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); initial extension | 33884 | Addon Code MPFS Status: Active Code APC C CPT Assistant Article Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure) | 33886 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta | 33910 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Pulmonary artery embolectomy; with cardiopulmonary bypass | 33916 | MPFS Status: Active Code APC C PUB 100 Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass | 33917 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of pulmonary artery stenosis by reconstruction with patch or graft | 33920 | MPFS Status: Active Code APC C CPT Assistant Article Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery | 33922 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Transection of pulmonary artery with cardiopulmonary bypass | 33926 | MPFS Status: Active Code APC C Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass | 33935 | MPFS Status: Restricted APC C PUB 100 Illustration for Code Heart-lung transplant with recipient cardiectomy-pneumonectomy | 33945 | MPFS Status: Restricted APC C PUB 100 CPT Assistant Article Heart transplant, with or without recipient cardiectomy | 33975 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Insertion of ventricular assist device; extracorporeal, single ventricle | 33976 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Insertion of ventricular assist device; extracorporeal, biventricular | 33977 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Removal of ventricular assist device; extracorporeal, single ventricle | 33978 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Removal of ventricular assist device; extracorporeal, biventricular | 33979 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Insertion of ventricular assist device, implantable intracorporeal, single ventricle | 33980 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Illustration for Code Removal of ventricular assist device, implantable intracorporeal, single ventricle | 33983 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass | 33990 | MPFS Status: Active Code APC C Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only | 33991 | MPFS Status: Active Code APC C Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture | 34701 | MPFS Status: Active Code APC C 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) | 34702 | MPFS Status: Active Code APC C 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 rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) | 34703 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac 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 iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) | 34704 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac 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 iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) | 34705 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac 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 iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) | 34706 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac 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 iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) | 34707 | MPFS Status: Active Code APC C 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 other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation) | 34708 | MPFS Status: Active Code APC C 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) | 34710 | MPFS Status: Active Code APC C Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed; initial vessel treated | 34712 | MPFS Status: Active Code APC C Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation | 34718 | Resequenced Code MPFS Status: Active Code APC C Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, including pre-procedure sizing and device selection, all ipsilateral selective iliac artery catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally in the internal iliac, external iliac, and common femoral artery(ies), and treatment zone angioplasty/stenting, when performed, for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, penetrating ulcer), unilateral | 34841 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) | 34842 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34843 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34844 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34845 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) | 34846 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34847 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34848 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
| RT | Right side (used to identify procedures performed on the right side of the body) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2019-03-06 | Changed | Per CPT Errata, Guidelines revised. |
| 2018-01-01 | Added | Code Added. |
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