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The CPT® Code 34830 refers to the open surgical repair of an infrarenal aortic aneurysm or dissection, which is a serious condition characterized by the abnormal dilation or tearing of the aorta located just below the renal arteries. This procedure is specifically indicated when previous attempts at endovascular repair have been unsuccessful. Endovascular repair is a minimally invasive technique that may lead to complications such as endoleaks, dissection, or occlusion of major aortic branches, which can compromise blood flow to the aorta or iliac regions. The open repair involves a more invasive approach, requiring an abdominal incision to access the aorta and associated vessels. During the procedure, the surgeon will remove any thrombus and lodged pieces of the endograft, ensuring that the prosthesis is securely sutured to the healthy sections of the aorta. This comprehensive approach aims to restore normal vascular flow and address any arterial trauma that may have occurred as a result of the aneurysm or previous repair attempts.
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The open repair of an infrarenal aortic aneurysm or dissection, as described by CPT® Code 34830, is indicated in the following situations:
The procedure for open repair of an infrarenal aortic aneurysm or dissection involves several critical steps:
Post-procedure care following the open repair of an infrarenal aortic aneurysm or dissection includes monitoring for any signs of complications such as bleeding, infection, or graft failure. Patients may require close observation in a recovery unit, and follow-up imaging studies may be necessary to assess the integrity of the repair and ensure proper blood flow. Pain management and rehabilitation may also be part of the recovery process, depending on the individual patient's needs and the extent of the surgical intervention.
| Short Descr | OPEN AORTIC TUBE PROSTH REPR | Medium Descr | OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH | Long Descr | Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 52 - Aortic resection, replacement or anastomosis |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2001-01-01 | Added | First appearance in code book in 2001. |
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