CPT® Code 34718

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

The CPT® Code 34718 refers to the endovascular repair of the iliac artery, specifically when this procedure is not performed in conjunction with the placement of an aorto-iliac artery endograft during the same session. This procedure involves the deployment of an iliac branched endograft, which is a specialized device designed to treat various conditions affecting the iliac artery. The procedure includes several critical components: pre-procedure sizing and device selection, selective catheterization of the ipsilateral iliac artery, and comprehensive radiological supervision and interpretation throughout the process. Additionally, it encompasses the extension of the endograft both proximally to the aortic bifurcation and distally into the internal iliac, external iliac, and common femoral arteries. Treatment zone angioplasty or stenting may also be performed as part of this procedure, although it is not limited to cases of rupture. Instead, this code is applicable for a range of conditions such as aneurysms, pseudoaneurysms, dissections, arteriovenous malformations, and penetrating ulcers, all of which can necessitate this type of intervention. The procedure is unilateral, meaning it is performed on one side of the body, and is typically accessed through the femoral artery using either a percutaneous or open technique.