CPT® Code 34808

Add-On Code

The endovascular placement of an iliac artery occlusion device is a specialized procedure aimed at addressing occlusive disease in the iliac arteries, particularly in the context of preparing for an endovascular repair of an abdominal aortic aneurysm. This procedure is indicated when one iliac artery remains patent, meaning it is open and unobstructed, while the other iliac artery is affected by occlusive disease, which can impede blood flow. To manage this condition effectively, the occluded artery is typically treated with a femoral-femoral prosthetic graft, which may be performed during the same surgical session or as a prior intervention. The primary goal of placing the iliac artery occlusion device is to prevent retrograde blood flow from the diseased artery into the aneurysm sac, thereby reducing the risk of complications associated with the aneurysm. The procedure involves the use of an introducer device that carries the occluder, which is advanced into the affected artery under fluoroscopic guidance, ensuring precise placement. Once the occluder is positioned correctly, contrast material is injected to confirm its placement and to ensure that the artery is completely occluded. If necessary, additional embolization materials may be used to achieve complete occlusion. Following the successful placement of the occlusion device, the introducer is removed, and the endovascular repair of the abdominal aortic aneurysm is performed as a separate, reportable procedure.