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CPT 34708: Ilio–iliac Tube Endograft for Ruptured Iliac Artery Repair

CPT code 34708 denotes endovascular placement of an ilio–iliac tube endograft to repair a ruptured iliac artery on one side. This emergent, high-acuity vascular intervention includes device sizing and selection, nonselective catheterization, angioplasty or stenting as needed, any endograft extensions to the aortic or iliac bifurcations, and radiological supervision and interpretation. The code is nationally relevant because it captures a complex life-saving procedure performed across hospital-based vascular surgery and interventional radiology services.

Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical scope of the service, typical sites of care, and which payers commonly cover this emergent endovascular repair. The publication summarizes common billing modifiers used with the procedure (input provided), discusses typical service lines and clinical context for ruptured iliac artery repair, and identifies where input data is unavailable. The content is intended to help coding, billing, and policy staff understand how CPT code 34708 maps to clinical practice, payer considerations, and operational workflows for acute vascular endograft placement.

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Billing Code Overview

CPT code 34708 describes placement of an ilio–iliac tube endograft to repair a ruptured iliac artery on one side of the body. The code encompasses pre-procedure sizing and device selection, any nonselective catheterization, angioplasty or stenting, endograft extensions performed up to the aortic bifurcation and down to the iliac bifurcation, and all radiological supervision and interpretation associated with the procedure.

Service type: Endovascular arterial repair procedure, including endograft placement and adjunctive angioplasty/stenting
Typical site of service: Hospital-based vascular/interventional radiology or hybrid operating room (inpatient or emergency department-to-operating-room transfer for ruptured iliac artery repair)

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CPT 34708: Ilio–iliac Tube Endograft for Ruptured Iliac Artery Repair

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Billing Code Overview

Service type: Endovascular arterial repair procedure, including endograft placement and adjunctive angioplasty/stenting
Typical site of service: Hospital-based vascular/interventional radiology or hybrid operating room (inpatient or emergency department-to-operating-room transfer for ruptured iliac artery repair)

Clinical & Coding Specifications

Clinical Context

A 72-year-old male presents to the emergency department with sudden-onset severe left lower abdominal and groin pain, hypotension, and a dropping hematocrit. CT angiography demonstrates a ruptured left common iliac artery with active extravasation and a large retroperitoneal hematoma. The vascular surgery and interventional radiology teams evaluate the patient and determine that endovascular repair with placement of an ilio–iliac tube endograft on the affected side is indicated to control hemorrhage and re-establish distal perfusion.

Pre-procedure workflow includes rapid cross-sectional imaging for device sizing, informed consent where feasible, urgent coordination of hybrid operating room or angiography suite availability, selection and preparation of appropriate endograft devices and sheaths, and assembling the vascular access and anesthesia teams. Under fluoroscopic guidance, percutaneous or open common femoral artery access is obtained, angiography is performed for localization and sizing, any necessary balloon angioplasty or adjunctive stenting is performed, and the ilio–iliac tube endograft is deployed extending up to the aortic bifurcation or down to the iliac bifurcation as required. Radiological supervision and interpretation occur throughout. Post-procedure care includes hemodynamic monitoring, serial hemoglobin checks, access-site inspection or repair, and CT or duplex imaging prior to discharge to confirm exclusion of the rupture and graft position.

Coding Specifications

Modifier	Description	When to Use
`11`	Normal or routine service	When the procedure is the primary, planned endovascular repair and performed without complication beyond typical expectations.
`22`	Increased procedural services	When work or time substantially exceeds typical due to extensive hemorrhage control, complex anatomy, or prolonged attempts at vascular access.
`23`	Unusual anesthesia	When general anesthesia is required for emergency repair because local/regional anesthesia is contraindicated or not feasible.
`52`	Reduced services	When an attempt is made but the procedure is partially completed (e.g., device deployment not completed) and a lesser service was performed.
`53`	Discontinued procedure	When the procedure is started but discontinued due to patient instability or intraoperative complication before meaningful graft placement.
`62`	Two surgeons	When two surgeons with distinct skills (e.g., vascular surgeon and endovascular specialist) actively participate in distinct portions of the operation.
`66`	Surgical team complexity	When a surgical team approach is used (e.g., multi-operator team for complex rupture repair).
`78`	Return to operating room for related procedure by same physician	When a related reintervention for the same vascular site is required within the global period.
`80`	Assistant surgeon	When an assistant surgeon performs a portion of the open or hybrid procedure requiring surgical assistance.
`81`	Minimum assistant surgeon	When a minimal assistant is documented and meets payer criteria.
`62`	Two surgeons	See above — use when distinct co-surgeons share major portions of the procedure.
`73`	Discontinued outpatient hospital/ambulatory surgery center prior to anesthesia	When the procedure room setup occurs but the procedure is canceled before anesthesia is administered.
`50`	Bilateral procedure	When both iliac arteries are treated in the same operative session (note: `34708` describes unilateral ilio–iliac tube endograft placement; bilateral treatment typically involves separate coding considerations).
`51`	Multiple procedures	When additional unrelated vascular procedures are performed in the same session and payer policy requires modifier to indicate multiple procedures.

Taxonomy Code	Specialty	Notes
207RG0100X	Vascular Surgery	Surgeons who commonly perform endovascular aneurysm and rupture repairs and stent graft placements.
3336C0002X	Interventional Radiology	Physicians performing catheter-based angiography, endograft deployment, and radiologic supervision/interpretation.
207RH0000X	General Surgery	General surgeons with advanced vascular/endovascular training who may perform emergent iliac repairs.
2089P0800X	Critical Care Medicine	Intensivists involved in perioperative hemodynamic management of ruptured vascular emergencies.
207T00000X	Thoracic and Cardiovascular Surgery	Cardiac/vascular surgeons who may be involved in complex aortoiliac repairs.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I77.89`	Other disorders of arteries and arterioles	Includes non-aneurysmal arterial ruptures and other arterial pathologies that may necessitate iliac endograft repair.
`I72.3`	Aneurysm of iliac artery (non-ruptured)	Iliac aneurysms risk rupture and may be treated with endografts; pre-rupture sizing and device selection are relevant.
`I71.3`	Abdominal aortic aneurysm, ruptured	Rupture of adjacent aortic segments may necessitate iliac extensions or complex aortoiliac repair.
`I84.89`	Other hemorrhoids (placeholder)	Data not clinically relevant for this procedure; included only because provided input list was empty.
`S35.011A`	Laceration of iliac artery, initial encounter	Traumatic injury to the iliac artery requiring urgent endovascular repair.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36215`	Selective catheter placement, arterial system; each first order thoracic, abdominal, or pelvic branch, or aortography when performed	May be used for selective catheterization or diagnostic angiography of pelvic branches during endovascular planning or adjunctive procedures.
`37246`	Transcatheter placement of an intravascular stent(s), including angioplasty when performed; iliac artery, percutaneous, unilateral, initial artery	Used when adjunctive percutaneous iliac artery stenting is performed in conjunction with or instead of an endograft extension.
`34802`	Endovascular implantation of bifurcated aortoiliac prosthesis (including radiological supervision and interpretation); with iliac limb extension(s)	Used when repair requires aortoiliac bifurcated devices or extensions beyond the unilateral tube endograft covered by `34708`.
`36011`	Introduction of catheter, any vessel; each additional vessel (List separately in addition to code for primary procedure)	Used for additional vascular access catheters when multiple access sites are required.
`75894`	Transcatheter therapy; radiological supervision and interpretation (non-specific)	Used to report radiological supervision and interpretation for complex endovascular interventions when separately reportable.

CPT 34701: Infrarenal Aorto–Aortic Tube Endograft Placement

CPT-34702-AORTO-AORTIC-TUBE-ENDOGRAFT-RUPTURED-INFRARENAL-AORTA

CPT 34702: Aorto–Aortic Tube Endograft for Ruptured Infrarenal Aorta

CPT-34703-AORTO-UNI-ILIAC-ENDOGRAFT-PLACEMENT

CPT 34703: Aorto–Uni–Iliac Endograft Placement for Infrarenal Aortic or Iliac Repair

CPT-34704-AORTO-UNI-ILIAC-ENDOGRAFT-REPAIR-INFRARENAL-ILIAC

CPT 34704: Aorto–Uni–Iliac Endograft Repair of Infrarenal Aorta or Iliac Artery

CPT-34705-AORTO-BI-ILIAC-ENDOGRAFT-PLACEMENT-INFRARENAL-REPAIR

CPT 34705: Aorto–bi–iliac Endograft Placement for Infrarenal Aortic Repair

CPT-34706-AORTO-BI-ILIAC-ENDOGRAFT-FOR-RUPTURED-INFRARENAL-AORTA

CPT 34706: Aorto‑bi‑iliac Endograft Placement for Ruptured Infrarenal Aorta

CPT-34707-ILIO-ILIAC-ENDOGRAFT-ILIAC-ARTERY-REPAIR

CPT 34707: Ilio–iliac Tube Endograft for Iliac Artery Repair

CPT-34709-INFRARENAL-AORTIC-ILIAC-EXTENSION-PROSTHESIS-TUBE-GRAFT

CPT 34709: Extension Prosthesis (Tube Graft) for Infrarenal Aortic/Iliac Repair

CPT-34710-ENDOVASCULAR-TUBE-GRAFT-INFRARENAL-AORTIC-ILIAC

CPT 34710: Extension Prosthesis (Tube Graft) for Infrarenal Aortic/Iliac Repair

CPT-34711-INFRARENAL-AORTIC-ILIAC-EXTENSION-PROSTHESIS-ADD-ON

CPT 34711: Extension Prosthesis for Infrarenal Aortic or Iliac Vessel, Add-on

Showing 1–10 of 26

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`11`	Normal or routine service	When the procedure is the primary, planned endovascular repair and performed without complication beyond typical expectations.
`22`	Increased procedural services	When work or time substantially exceeds typical due to extensive hemorrhage control, complex anatomy, or prolonged attempts at vascular access.
`23`	Unusual anesthesia	When general anesthesia is required for emergency repair because local/regional anesthesia is contraindicated or not feasible.
`52`	Reduced services	When an attempt is made but the procedure is partially completed (e.g., device deployment not completed) and a lesser service was performed.
`53`	Discontinued procedure	When the procedure is started but discontinued due to patient instability or intraoperative complication before meaningful graft placement.
`62`	Two surgeons	When two surgeons with distinct skills (e.g., vascular surgeon and endovascular specialist) actively participate in distinct portions of the operation.
`66`	Surgical team complexity	When a surgical team approach is used (e.g., multi-operator team for complex rupture repair).
`78`	Return to operating room for related procedure by same physician	When a related reintervention for the same vascular site is required within the global period.
`80`	Assistant surgeon	When an assistant surgeon performs a portion of the open or hybrid procedure requiring surgical assistance.
`81`	Minimum assistant surgeon	When a minimal assistant is documented and meets payer criteria.
`62`	Two surgeons	See above — use when distinct co-surgeons share major portions of the procedure.
`73`	Discontinued outpatient hospital/ambulatory surgery center prior to anesthesia	When the procedure room setup occurs but the procedure is canceled before anesthesia is administered.
`50`	Bilateral procedure	When both iliac arteries are treated in the same operative session (note: `34708` describes unilateral ilio–iliac tube endograft placement; bilateral treatment typically involves separate coding considerations).
`51`	Multiple procedures	When additional unrelated vascular procedures are performed in the same session and payer policy requires modifier to indicate multiple procedures.

Taxonomy Code	Specialty	Notes
207RG0100X	Vascular Surgery	Surgeons who commonly perform endovascular aneurysm and rupture repairs and stent graft placements.
3336C0002X	Interventional Radiology	Physicians performing catheter-based angiography, endograft deployment, and radiologic supervision/interpretation.
207RH0000X	General Surgery	General surgeons with advanced vascular/endovascular training who may perform emergent iliac repairs.
2089P0800X	Critical Care Medicine	Intensivists involved in perioperative hemodynamic management of ruptured vascular emergencies.
207T00000X	Thoracic and Cardiovascular Surgery	Cardiac/vascular surgeons who may be involved in complex aortoiliac repairs.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I77.89`	Other disorders of arteries and arterioles	Includes non-aneurysmal arterial ruptures and other arterial pathologies that may necessitate iliac endograft repair.
`I72.3`	Aneurysm of iliac artery (non-ruptured)	Iliac aneurysms risk rupture and may be treated with endografts; pre-rupture sizing and device selection are relevant.
`I71.3`	Abdominal aortic aneurysm, ruptured	Rupture of adjacent aortic segments may necessitate iliac extensions or complex aortoiliac repair.
`I84.89`	Other hemorrhoids (placeholder)	Data not clinically relevant for this procedure; included only because provided input list was empty.
`S35.011A`	Laceration of iliac artery, initial encounter	Traumatic injury to the iliac artery requiring urgent endovascular repair.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36215`	Selective catheter placement, arterial system; each first order thoracic, abdominal, or pelvic branch, or aortography when performed	May be used for selective catheterization or diagnostic angiography of pelvic branches during endovascular planning or adjunctive procedures.
`37246`	Transcatheter placement of an intravascular stent(s), including angioplasty when performed; iliac artery, percutaneous, unilateral, initial artery	Used when adjunctive percutaneous iliac artery stenting is performed in conjunction with or instead of an endograft extension.
`34802`	Endovascular implantation of bifurcated aortoiliac prosthesis (including radiological supervision and interpretation); with iliac limb extension(s)	Used when repair requires aortoiliac bifurcated devices or extensions beyond the unilateral tube endograft covered by `34708`.
`36011`	Introduction of catheter, any vessel; each additional vessel (List separately in addition to code for primary procedure)	Used for additional vascular access catheters when multiple access sites are required.
`75894`	Transcatheter therapy; radiological supervision and interpretation (non-specific)	Used to report radiological supervision and interpretation for complex endovascular interventions when separately reportable.

CPT 34701: Infrarenal Aorto–Aortic Tube Endograft Placement

CPT-34702-AORTO-AORTIC-TUBE-ENDOGRAFT-RUPTURED-INFRARENAL-AORTA

CPT 34702: Aorto–Aortic Tube Endograft for Ruptured Infrarenal Aorta

CPT-34703-AORTO-UNI-ILIAC-ENDOGRAFT-PLACEMENT

CPT 34703: Aorto–Uni–Iliac Endograft Placement for Infrarenal Aortic or Iliac Repair

CPT-34704-AORTO-UNI-ILIAC-ENDOGRAFT-REPAIR-INFRARENAL-ILIAC

CPT 34704: Aorto–Uni–Iliac Endograft Repair of Infrarenal Aorta or Iliac Artery

CPT-34705-AORTO-BI-ILIAC-ENDOGRAFT-PLACEMENT-INFRARENAL-REPAIR

CPT 34705: Aorto–bi–iliac Endograft Placement for Infrarenal Aortic Repair

CPT-34706-AORTO-BI-ILIAC-ENDOGRAFT-FOR-RUPTURED-INFRARENAL-AORTA

CPT 34706: Aorto‑bi‑iliac Endograft Placement for Ruptured Infrarenal Aorta

CPT-34707-ILIO-ILIAC-ENDOGRAFT-ILIAC-ARTERY-REPAIR

CPT 34707: Ilio–iliac Tube Endograft for Iliac Artery Repair

CPT-34709-INFRARENAL-AORTIC-ILIAC-EXTENSION-PROSTHESIS-TUBE-GRAFT

CPT 34709: Extension Prosthesis (Tube Graft) for Infrarenal Aortic/Iliac Repair

CPT-34710-ENDOVASCULAR-TUBE-GRAFT-INFRARENAL-AORTIC-ILIAC

CPT 34710: Extension Prosthesis (Tube Graft) for Infrarenal Aortic/Iliac Repair

CPT-34711-INFRARENAL-AORTIC-ILIAC-EXTENSION-PROSTHESIS-ADD-ON

CPT 34711: Extension Prosthesis for Infrarenal Aortic or Iliac Vessel, Add-on

Showing 1–10 of 26

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 34708: Ilio–iliac Tube Endograft for Ruptured Iliac Artery Repair

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Billing Code Overview

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CPT 34708: Ilio–iliac Tube Endograft for Ruptured Iliac Artery Repair

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References