Summary & Overview
CPT 34714: Femoral Artery Conduit for Endovascular Delivery or CPB
CPT code 34714 represents a surgical femoral artery incision with creation of a conduit used to deliver an endovascular prosthesis (tube graft) or to establish cardiopulmonary bypass. The code is an adjunctive procedure and is reported in addition to the primary endovascular repair code or the cardiac procedure that requires CPB. Nationally, this code matters because it documents a distinct vascular access step that can affect procedure coding, billing aggregation, and resource use for complex endovascular and cardiac cases.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The content outlines clinical context for when the code is used, common sites of service (operating room/surgical suite, inpatient and outpatient hospital settings), and the role of 34714 as an add-on procedural code.
Readers will learn how the code is used clinically and administratively, what types of procedures typically accompany it (endovascular graft delivery or cardiac operations requiring CPB), and where to find related billing considerations. Data not available in the input includes payer-specific coverage rules, reimbursement benchmarks, associated taxonomies, and ICD-10 diagnoses; those items are not included here.
Billing Code Overview
CPT code 34714 describes a surgical incision in the groin to expose the femoral artery with creation of a conduit for delivery of an endovascular prosthesis (tube graft) or for establishment of cardiopulmonary bypass (CPB). This code is reported in addition to the primary code for the endovascular repair procedure or the cardiac operation requiring CPB.
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Service type: Vascular access/conduit creation for endovascular device delivery or cardiopulmonary bypass support
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Typical site of service: Operating room or surgical suite, commonly performed in an inpatient or outpatient hospital setting depending on the primary procedure
Clinical & Coding Specifications
Clinical Context
A typical patient is an older adult with an abdominal aortic aneurysm (AAA) or aortoiliac occlusive disease who requires endovascular aneurysm repair (EVAR) or large-bore arterial access for cardiopulmonary bypass. The patient arrives to the vascular operating room after preoperative imaging (CT angiography) confirms vascular anatomy suitable for a femoral conduit. Under general or regional anesthesia, the vascular surgeon makes an incision in the groin, dissects to the common femoral artery, and creates a conduit (surgical graft or Dacron conduit) sewn to the artery to facilitate delivery of an endovascular prosthesis or to provide secure arterial access for cardiopulmonary bypass during complex cardiac procedures. Intraoperative fluoroscopy and contrast injection confirm position. After completion of the endovascular repair or cardiac procedure, the conduit is removed or addressed per operative plan and the femoral artery repaired. Typical site of service is an inpatient operating room or hospital outpatient surgical suite; the service is reported in addition to the primary endovascular repair or the cardiac procedure requiring cardiopulmonary bypass. A realistic patient scenario: a 72-year-old male with a 5.8 cm infrarenal AAA who undergoes EVAR; due to small, diseased femoral/iliac arteries the surgeon creates a femoral conduit to deliver the endograft using 34714 and separately reports the EVAR device codes and graft placement codes.
Coding Specifications
| Modifier | Description | When to Use |
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