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CPT®
34900

CPT® Code 34900
Deleted

Code deleted, see 34707, 34708.

Official Description

Endovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 34900 involves the endovascular repair of the iliac artery, which may be necessary due to various conditions such as an aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma. An endovascular graft placement is a minimally invasive technique that allows for the repair of the iliac artery without the need for open surgery. This approach is particularly beneficial as it typically results in reduced recovery time and less postoperative pain compared to traditional surgical methods. The procedure begins with the exposure and incision of the ipsilateral femoral artery, which serves as the access point for the endovascular intervention. A guide wire is then introduced and carefully advanced to the area just above the iliac artery defect, allowing for precise placement of the introducer sheath that contains the endovascular graft. Under fluoroscopic guidance, the correct positioning of the graft is confirmed before deployment. This meticulous process ensures that the graft effectively addresses the defect in the iliac artery, thereby restoring proper blood flow and reducing the risk of complications associated with the aforementioned conditions.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The endovascular repair of the iliac artery using CPT® Code 34900 is indicated for the following conditions:

  • Aneurysm - A localized enlargement of the iliac artery that poses a risk of rupture.
  • Pseudoaneurysm - A false aneurysm that occurs when blood leaks out of the artery and forms a hematoma, which is contained by surrounding tissue.
  • Arteriovenous malformation - An abnormal connection between arteries and veins that can lead to various complications, including bleeding.
  • Trauma - Injury to the iliac artery resulting from external forces, which may compromise blood flow and require surgical intervention.

2. Procedure

The procedure for endovascular repair of the iliac artery involves several critical steps:

  • Step 1: Exposure of the Femoral Artery - The procedure begins with the surgical exposure and incision of the ipsilateral femoral artery, which provides access to the vascular system for the subsequent steps.
  • Step 2: Introduction of the Guide Wire - A guide wire is introduced into the femoral artery and carefully advanced to a position just above the proximal aspect of the iliac artery defect, ensuring that it is correctly placed for the next phase of the procedure.
  • Step 3: Advancement of the Introducer Sheath - An introducer sheath containing the endovascular graft is then advanced over the guide wire and positioned precisely over the iliac artery defect, utilizing fluoroscopic guidance to ensure accurate placement.
  • Step 4: Verification of Graft Position - The correct positioning of the endograft is verified through fluoroscopy, allowing the physician to confirm that it is appropriately situated before proceeding with deployment.
  • Step 5: Deployment of the Endograft - Once the position is confirmed, the guide wire is removed, and the introducer sheath is withdrawn to deploy the endograft into the iliac artery.
  • Step 6: Use of Balloon Catheter - A balloon catheter may be utilized as needed to ensure that the endograft is seated properly within the artery, optimizing its function and stability.
  • Step 7: Angiography - Following the deployment, a pigtail or sidehole catheter is introduced over the guide wire, and angiography is performed to evaluate the position of the endograft and to check for any endoleaks, which could indicate complications.
  • Step 8: Removal of Catheters and Closure - Finally, all catheters and guide wires are removed, and the incision in the groin is closed, completing the procedure.

3. Post-Procedure

After the endovascular repair of the iliac artery, patients are typically monitored for any immediate complications, such as bleeding or infection at the incision site. Recovery may involve a short hospital stay, during which healthcare providers will assess the patient's vital signs and overall condition. Patients are often advised to limit physical activity for a period to allow for proper healing. Follow-up imaging studies may be scheduled to ensure the endograft remains in the correct position and functions as intended, with no signs of endoleaks or other complications. It is essential for patients to adhere to any prescribed follow-up appointments and to report any unusual symptoms, such as pain or swelling, to their healthcare provider promptly.
Short Descr ENDOVASC ILIAC REPR W/GRAFT
Medium Descr EVASC RPR ILIAC ART ILIO-ILIAC PROSTHESIS
Long Descr Endovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis
Status Code Active Code
Global Days 090 - Major Surgery
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard 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 Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P1G - Major procedure - Other
MUE Not applicable/unspecified.
CCS Clinical Classification 61 - Other OR procedures on vessels other than head and neck
Date
Action
Notes
2017-12-31 Deleted Code deleted, see 34707, 34708.
2011-01-01 Changed Long description revised. Medium description changed. Guideline information changed.
2004-01-01 Changed Code description changed.
2003-01-01 Added First appearance in code book in 2003.
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