CPT 34831 Infrarenal Aortic Repair Reimbursement | OpenPayer

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CPT 34831 Infrarenal Aortic Repair Reimbursement | OpenPayer

Modifier	Description	When to Use
`22`	Increased procedural services	Use when the open repair required substantially greater work or complexity than typical for `34831` (extensive adhesiolysis, massive hemorrhage).
`23`	Unusual anesthesia	Use when the procedure is performed under general anesthesia that is medically contraindicated but required due to emergency conversion.
`62`	Two surgeons	Use when two surgeons with different NPI numbers perform distinct portions of the operation (eg, vascular surgeon and trauma surgeon).
`66`	Surgical team	Use when a surgical team provides portions of the procedure per facility policy and payer rules.
`78`	Unplanned return to the OR by the same physician following initial procedure	Use if the patient returns emergently to the operating room for complications related to the unsuccessful endovascular attempt and open repair.
`79`	(Not in supplied list)	Data not available in the input.
`50`	Bilateral procedure	Use only if bilateral separate incisions/procedures are performed (generally not applicable to `34831`).
`52`	Reduced services	Use if the procedure was begun but reduced or not completed as documented.
`53`	Discontinued procedure	Use if the procedure was started but aborted due to patient condition before completing the aorto–bi–iliac graft.
`62`	Two surgeons	See above.

Taxonomy Code	Specialty	Notes
2080S0001X	Vascular Surgery	Primary specialty performing open aortic reconstructions and management of EVAR conversions.
2080P0206X	General Surgery	General surgeons with vascular expertise or trauma surgeons involved in complex abdominal vascular repairs.
207RH0000X	Cardiothoracic Vascular Surgery	Surgeons trained in thoracic and complex aortic procedures who may manage extensive aortic disease.
207K00000X	Interventional Cardiology	May be involved in initial endovascular attempt in hybrid settings; less commonly performs open repair.
362W00000X	Interventional Radiology	Performs endovascular attempts and may assist in hybrid conversions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I71.3`	Abdominal aortic aneurysm, ruptured	Rupture may occur during EVAR or be detected after unsuccessful repair, requiring open aorto–bi–iliac graft repair.
`I71.4`	Abdominal aortic aneurysm, without rupture	Elective or symptomatic infrarenal AAA that was the target of EVAR and subsequent conversion to open repair.
`I72.3`	Aortic dissection of abdominal aorta	Dissection involving the infrarenal aorta may necessitate open reconstruction after failed endovascular management.
`T82.838A`	Other mechanical complication of other vascular device, initial encounter	Captures device failure or maldeployment of endovascular graft components leading to open conversion.
`S35.011A`	Injury of abdominal aorta, initial encounter	Iatrogenic trauma to the aorta from endovascular instruments requiring open repair is coded here.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`34831`	Open repair of infrarenal aorta with aorto–bi–iliac prosthesis after unsuccessful endovascular repair, including repair of associated trauma	Principal procedure describing conversion from failed EVAR to open aorto–bi–iliac graft placement.
`34800`	Open repair of infrarenal abdominal aortic aneurysm, graft insertion, without mention of iliac extension	May be used for standard open infrarenal AAA repair when iliac extension is not required.
`34802`	Open repair of infrarenal aortic aneurysm with prosthetic graft; with separate iliac artery anastomosis or extension	Used when iliac anastomoses are performed as part of grafting similar to `34831`.
`35800`	Endovascular repair of infrarenal aorta with stent graft (EVAR)	Represents the initial endovascular procedure that failed and necessitated conversion; relevant for procedure sequence documentation.
`34812`	Open repair of ruptured abdominal aortic aneurysm with graft insertion	Performed in cases where the unsuccessful EVAR results in rupture necessitating emergent open repair; closely related in emergent workflow.