CPT code 34401 represents an open surgical venous thrombectomy with repair of the inferior vena cava or iliac vein performed via an abdominal incision. This is a high-acuity vascular surgery used to remove thrombus and restore venous patency in central pelvic venous structures. Nationally, such procedures are important for preventing complications of major venous thrombosis, including limb-threatening ischemia, pulmonary embolism, and chronic venous insufficiency.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for the procedure, typical sites of service, and the types of service lines that commonly bill for this code. The publication also summarizes common modifiers and coding considerations when present in claims data and highlights related billing and policy topics affecting reimbursement and utilization for open venous thrombectomy procedures.

This summary is intended to orient clinicians, coding professionals, revenue cycle staff, and policy analysts to the clinical nature of CPT code 34401, the payer landscape commonly encountered, and the key topics addressed in the full publication.