Summary & Overview
CPT 34701: Infrarenal Aorto–Aortic Tube Endograft Placement
CPT code 34701 represents endovascular repair of the infrarenal aorta using an aorto–aortic tube endograft for nonruptured, nontraumatic indications. This procedure-level code bundles pre-procedure sizing and device selection, nonselective catheterization, adjunctive angioplasty or stenting, any extensions from the renal arteries to the aortic bifurcation, and radiological supervision and interpretation. Nationally, EVAR codes like 34701 are clinically significant because they capture high-cost device use, resource-intensive imaging and intraoperative services, and a growing cohort of patients managed with endovascular techniques.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise overview of clinical scope and settings, expected service type and typical sites of service, and the kinds of benchmarks and policy considerations that commonly affect utilization and reimbursement for complex endovascular aortic procedures. The publication also highlights coding boundaries inherent in the description — what is included in the bundled service and which adjunct services are typically reported separately — and notes where input data was not provided for deeper payor-specific or taxonomy-driven analyses. The focus is national in scope and intended for coding professionals, hospital billing teams, and policy analysts.
Billing Code Overview
CPT code 34701 describes placement of an aorto–aortic tube endograft to repair the infrarenal aorta for indications other than rupture or traumatic injury. The code includes pre-procedure sizing and device selection, any nonselective catheterization, angioplasty or stenting performed as part of the procedure, endograft extensions from the renal arteries to the aortic bifurcation, and all radiological supervision and interpretation.
Service type: Endovascular aortic repair (EVAR) procedure, infrarenal aorto–aortic tube endograft placement
Typical site of service: Hospital inpatient or hospital outpatient interventional vascular suite / hybrid operating room
Clinical & Coding Specifications
Clinical Context
A 72-year-old male with a 5.5 cm infrarenal abdominal aortic aneurysm (AAA) elects for endovascular repair after surveillance imaging demonstrates interval enlargement. Preoperative CTA measures the aortic neck and iliac access vessels; device sizing and selection occur during preprocedure planning. On the day of service, the patient undergoes percutaneous or open femoral arterial access under general or regional anesthesia. The operator performs aorto–aortic tube endograft deployment to exclude the infrarenal aneurysm, with nonselective catheterization, possible angioplasty of tortuous iliac arteries, and placement of endograft extensions as needed from the renal arteries to the aortic bifurcation. Intraoperative fluoroscopic guidance with radiological supervision and interpretation is provided. Typical workflow steps include preprocedure imaging review and informed consent, device selection and sizing, vascular access and hemostasis planning, deployment of the primary endograft, adjunctive balloon angioplasty or stenting if required, completion angiography, and postprocedure recovery with vascular monitoring and follow-up imaging surveillance. Typical site of service is an inpatient or outpatient hospital interventional suite or an accredited ambulatory surgery center with endovascular capacity.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier (default) | Use when no special condition or circumstance applies. |