Summary & Overview
CPT 34707: Ilio–iliac Tube Endograft for Iliac Artery Repair
CPT code 34707 denotes placement of an ilio–iliac tube endograft to repair an iliac artery on one side for non‑rupture, non‑traumatic indications. Nationally, this code captures a complex endovascular vascular repair that integrates device sizing, catheter work, angioplasty or stenting as required, and imaging supervision — all bundled into a single procedural entry. Its use reflects growing reliance on endovascular techniques for iliac artery occlusive disease and aneurysmal disease management, with implications for device selection, facility resources, and imaging utilization. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and billing overview, payer coverage considerations, typical sites of service, and practical coding context including bundled elements of the procedure. The content highlights benchmarks and policy-relevant details that affect reimbursement and claims adjudication for complex endovascular iliac repairs, and provides clinical context to align coding with procedural documentation. Data not available in the input is noted where relevant.
Billing Code Overview
CPT code 34707 describes placement of an ilio–iliac tube endograft to repair an iliac artery on one side of the body for indications other than rupture or injury. The procedure includes pre-procedure sizing and device selection, any nonselective catheterization, angioplasty or stenting as needed, endograft extensions performed up to the aortic bifurcation and down to the iliac bifurcation, and all associated radiological supervision and interpretation.
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Service type: Endovascular arterial repair (endograft placement) for iliac artery pathology
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Typical site of service: Hospital outpatient department or inpatient vascular surgery/interventional radiology suite
Clinical & Coding Specifications
Clinical Context
A 72‑year‑old male with a history of peripheral arterial disease presents with progressive left lower‑extremity claudication and imaging demonstrating a focal degenerative aneurysmal dilation of the left common iliac artery extending toward the iliac bifurcation. After multidisciplinary vascular surgery and interventional radiology review, the patient is scheduled for an endovascular ilio‑iliac tube endograft placement to exclude the iliac aneurysm and preserve distal perfusion. Preprocedural planning includes CT angiography for device sizing and access vessel assessment, preoperative medical optimization, and informed consent addressing risks of contrast, bleeding, and limb ischemia.
On the day of service, the patient is admitted to the endovascular suite. Under general or monitored anesthesia care, arterial access is obtained percutaneously via the common femoral artery. The operator performs diagnostic angiography, measures vessel diameters, selects appropriate endograft components, and performs any necessary angioplasty or placement of iliac stents to secure seal zones. The ilio‑iliac tube graft is deployed on the affected side with completion angiography to confirm exclusion of the aneurysm and preserved perfusion to the internal and external iliac arteries as clinically indicated. Postprocedure, the patient is transferred to recovery or a monitored bed for vascular and renal function observation with planned imaging surveillance per standard practice.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 |