Billing Code 34713, Using a 12 French or Larger Catheter with EVAR

Question:

I almost always use a 12 French or larger catheter for placing the main body for EVAR. Do I always bill the new code 34713, when what I use is a 12 French or larger?

Answer:

Yes, if your approach/exposure is percutaneous. CPT code +34713,Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath ( 12 French or larger), including ultrasound guidance, when performed, unilateral,is only appropriate when the access is percutaneous. If you do an open exposure and use a 12 French or larger catheter, code 34713 would not be reported.

For more detailed information on coding the new EVAR code set, please contact us for a consultation.