© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 34833 involves the surgical exposure of the iliac artery, which is a major blood vessel located in the pelvis. This exposure is achieved through an abdominal or retroperitoneal incision, allowing the surgeon to create a conduit. The conduit serves two primary purposes: it facilitates the delivery of an endovascular prosthesis for the repair of aortic or iliac defects, or it establishes a pathway for cardiopulmonary bypass. The creation of a conduit is particularly important when direct cannulation of the iliac artery is not advisable due to anatomical considerations or the patient's condition. During the procedure, the surgeon carefully incises the skin in the lower abdomen or retroperitoneum and meticulously dissects through the tissue to access the iliac artery, ensuring the protection of surrounding structures such as veins, nerves, and the ureter. The procedure requires precise dissection of arterial branches, with bleeding controlled through ligation or electrocautery. The iliac artery is then freed from surrounding tissue over a length of 5-6 cm and secured with vessel loops to maintain its position. Following this, the artery is clamped and incised to allow for the tailored conduit to be anastomosed to it. This conduit may be utilized for various surgical interventions, including the establishment of cardiopulmonary bypass, which is critical in certain cardiac procedures. The entire process is performed unilaterally and is reported separately in addition to the primary procedure, highlighting its significance in complex vascular surgeries.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 34833 is indicated for specific clinical scenarios where access to the iliac artery is necessary for further surgical intervention. The following conditions may warrant this procedure:
The procedure involves several critical steps to ensure successful exposure and conduit creation for the iliac artery:
Post-procedure care involves monitoring the patient for any complications related to the surgical site, including bleeding or infection. The patient may require follow-up imaging to assess the integrity of the conduit and the success of the anastomosis. Recovery protocols will depend on the extent of the procedure and the patient's overall health status. It is essential to provide appropriate postoperative instructions regarding activity restrictions and signs of potential complications that should prompt immediate medical attention.
| Short Descr | OPN ILAC ART EXPOS CNDT CRTJ | Medium Descr | OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP | Long Descr | Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal incision, unilateral (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | 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) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 32852 | MPFS Status: Active Code APC C Illustration for Code Lung transplant, single; with cardiopulmonary bypass | 32854 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass | 33031 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Pericardiectomy, subtotal or complete; with cardiopulmonary bypass | 33120 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Excision of intracardiac tumor, resection with cardiopulmonary bypass | 33251 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass | 33256 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass | 33259 | Addon Code MPFS Status: Active Code APC C Illustration for Code Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to code for primary procedure) | 33261 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass | 33305 | MPFS Status: Active Code APC C Physician Quality Reporting Repair of cardiac wound; with cardiopulmonary bypass | 33315 | MPFS Status: Active Code APC C Physician Quality Reporting Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass | 33322 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Suture repair of aorta or great vessels; with cardiopulmonary bypass | 33335 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Insertion of graft, aorta or great vessels; with cardiopulmonary bypass | 33390 | MPFS Status: Active Code APC C Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) | 33391 | MPFS Status: Active Code APC C Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) | 33404 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Construction of apical-aortic conduit | 33405 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve | 33406 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) | 33410 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve | 33411 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus | 33412 | MPFS Status: Active Code APC C Illustration for Code Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) | 33413 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) | 33414 | MPFS Status: Active Code APC C Illustration for Code Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract | 33415 | MPFS Status: Active Code APC C Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis | 33416 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) | 33417 | MPFS Status: Active Code APC C Illustration for Code Aortoplasty (gusset) for supravalvular stenosis | 33422 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvotomy, mitral valve; open heart, with cardiopulmonary bypass | 33425 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Valvuloplasty, mitral valve, with cardiopulmonary bypass; | 33426 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring | 33427 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring | 33430 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Replacement, mitral valve, with cardiopulmonary bypass | 33440 | Resequenced Code MPFS Status: Active Code APC C Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure) | 33460 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvectomy, tricuspid valve, with cardiopulmonary bypass | 33463 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, tricuspid valve; without ring insertion | 33464 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Valvuloplasty, tricuspid valve; with ring insertion | 33465 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Replacement, tricuspid valve, with cardiopulmonary bypass | 33468 | MPFS Status: Active Code APC C Tricuspid valve repositioning and plication for Ebstein anomaly | 33474 | MPFS Status: Active Code APC C Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass | 33475 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Replacement, pulmonary valve | 33476 | MPFS Status: Active Code APC C Illustration for Code Right ventricular resection for infundibular stenosis, with or without commissurotomy | 33478 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection | 33496 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) | 33500 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass | 33502 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of anomalous coronary artery from pulmonary artery origin; by ligation | 33504 | MPFS Status: Active Code APC C Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass | 33505 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) | 33506 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta | 33507 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation | 33510 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; single coronary venous graft | 33511 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 2 coronary venous grafts | 33512 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 3 coronary venous grafts | 33513 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 4 coronary venous grafts | 33514 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Coronary artery bypass, vein only; 5 coronary venous grafts | 33516 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 6 or more coronary venous grafts | 33533 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Coronary artery bypass, using arterial graft(s); single arterial graft | 33534 | MPFS Status: Active Code APC C Physician Quality Reporting Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts | 33535 | MPFS Status: Active Code APC C Physician Quality Reporting Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts | 33536 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts | 33542 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Myocardial resection (eg, ventricular aneurysmectomy) | 33545 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Repair of postinfarction ventricular septal defect, with or without myocardial resection | 33548 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) | 33600 | MPFS Status: Active Code APC C CPT Assistant Article Closure of atrioventricular valve (mitral or tricuspid) by suture or patch | 33602 | MPFS Status: Active Code APC C Illustration for Code Closure of semilunar valve (aortic or pulmonary) by suture or patch | 33606 | MPFS Status: Active Code APC C Illustration for Code Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) | 33608 | MPFS Status: Active Code APC C Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery | 33610 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect | 33611 | Modifier 63 Exempt MPFS Status: Active Code APC C Repair of double outlet right ventricle with intraventricular tunnel repair; | 33612 | MPFS Status: Active Code APC C Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction | 33615 | MPFS Status: Active Code APC C Illustration for Code Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) | 33617 | MPFS Status: Active Code APC C Illustration for Code Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure | 33619 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) | 33620 | MPFS Status: Active Code APC C Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) | 33621 | MPFS Status: Active Code APC C Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) | 33622 | MPFS Status: Active Code APC C Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of cavopulmonary anastomosis, and removal of right and left pulmonary bands (eg, hybrid approach stage 2, Norwood, bidirectional Glenn, pulmonary artery debanding) | 33641 | MPFS Status: Active Code APC C Illustration for Code Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch | 33645 | MPFS Status: Active Code APC C Illustration for Code Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage | 33647 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Repair of atrial septal defect and ventricular septal defect, with direct or patch closure | 33660 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair | 33665 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair | 33670 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Repair of complete atrioventricular canal, with or without prosthetic valve | 33675 | MPFS Status: Active Code APC C Illustration for Code Closure of multiple ventricular septal defects; | 33676 | MPFS Status: Active Code APC C Illustration for Code Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) | 33677 | MPFS Status: Active Code APC C Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset | 33681 | Changed Code for 2025 MPFS Status: Active Code APC C Illustration for Code Closure of single ventricular septal defect, with or without patch; | 33684 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) | 33688 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset | 33692 | Changed Code for 2025 MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Complete repair tetralogy of Fallot without pulmonary atresia; | 33694 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch | 33697 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect | 33702 | MPFS Status: Active Code APC C Illustration for Code Repair sinus of Valsalva fistula, with cardiopulmonary bypass; | 33710 | MPFS Status: Active Code APC C Illustration for Code Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect | 33720 | MPFS Status: Active Code APC C Illustration for Code Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass | 33724 | MPFS Status: Active Code APC C Illustration for Code Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) | 33726 | MPFS Status: Active Code APC C Illustration for Code Repair of pulmonary venous stenosis | 33730 | Modifier 63 Exempt MPFS Status: Active Code APC C Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) | 33732 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane | 33736 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Atrial septectomy or septostomy; open heart with cardiopulmonary bypass | 33750 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) | 33755 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Shunt; ascending aorta to pulmonary artery (Waterston type operation) | 33762 | Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) | 33764 | MPFS Status: Active Code APC C Illustration for Code Shunt; central, with prosthetic graft | 33766 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) | 33767 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) | 33770 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect | 33771 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect | 33774 | Changed Code for 2025 MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; | 33775 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band | 33776 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect | 33777 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction | 33778 | Changed Code for 2025 Modifier 63 Exempt MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); | 33779 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band | 33780 | MPFS Status: Active Code APC C Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect | 33781 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction | 33782 | MPFS Status: Active Code APC C Illustration for Code Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation | 33783 | MPFS Status: Active Code APC C Illustration for Code Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia | 33786 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Total repair, truncus arteriosus (Rastelli type operation) | 33788 | MPFS Status: Active Code APC C Reimplantation of an anomalous pulmonary artery | 33802 | Changed Code for 2025 MPFS Status: Active Code APC C Division of aberrant vessel (vascular ring); | 33803 | MPFS Status: Active Code APC C Division of aberrant vessel (vascular ring); with reanastomosis | 33814 | Changed Code for 2025 MPFS Status: Active Code APC C Illustration for Code Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass | 33820 | MPFS Status: Active Code APC C Repair of patent ductus arteriosus; by ligation | 33822 | Age Edit MPFS Status: Active Code APC C Repair of patent ductus arteriosus; by division, younger than 18 years | 33824 | Age Edit MPFS Status: Active Code APC C Repair of patent ductus arteriosus; by division, 18 years and older | 33840 | MPFS Status: Active Code APC C Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis | 33845 | MPFS Status: Active Code APC C Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft | 33851 | MPFS Status: Active Code APC C Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement | 33853 | MPFS Status: Active Code APC C CPT Assistant Article Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass | 33858 | MPFS Status: Active Code APC C Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection | 33859 | MPFS Status: Active Code APC C Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) | 33863 | MPFS Status: Active Code APC C CPT Assistant Article Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) | 33864 | MPFS Status: Active Code APC C Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) | 33871 | MPFS Status: Active Code APC C Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation) | 33875 | MPFS Status: Active Code APC C Descending thoracic aorta graft, with or without bypass | 33877 | MPFS Status: Active Code APC C Physician Quality Reporting Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass | 33880 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin | 33881 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin | 33883 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); initial extension | 33884 | Addon Code MPFS Status: Active Code APC C CPT Assistant Article Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure) | 33886 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta | 33910 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Pulmonary artery embolectomy; with cardiopulmonary bypass | 33916 | MPFS Status: Active Code APC C PUB 100 Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass | 33917 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Repair of pulmonary artery stenosis by reconstruction with patch or graft | 33920 | MPFS Status: Active Code APC C CPT Assistant Article Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery | 33922 | Modifier 63 Exempt MPFS Status: Active Code APC C CPT Assistant Article Transection of pulmonary artery with cardiopulmonary bypass | 33926 | MPFS Status: Active Code APC C Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass | 33935 | MPFS Status: Restricted APC C PUB 100 Illustration for Code Heart-lung transplant with recipient cardiectomy-pneumonectomy | 33945 | MPFS Status: Restricted APC C PUB 100 CPT Assistant Article Heart transplant, with or without recipient cardiectomy | 33975 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Insertion of ventricular assist device; extracorporeal, single ventricle | 33976 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Insertion of ventricular assist device; extracorporeal, biventricular | 33977 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Removal of ventricular assist device; extracorporeal, single ventricle | 33978 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Removal of ventricular assist device; extracorporeal, biventricular | 33979 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Insertion of ventricular assist device, implantable intracorporeal, single ventricle | 33980 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Illustration for Code Removal of ventricular assist device, implantable intracorporeal, single ventricle | 33983 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass | 33990 | MPFS Status: Active Code APC C Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only | 33991 | MPFS Status: Active Code APC C Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture | 34701 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) | 34702 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) | 34703 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) | 34704 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) | 34705 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer) | 34706 | MPFS Status: Active Code APC C Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption) | 34707 | MPFS Status: Active Code APC C Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation) | 34708 | MPFS Status: Active Code APC C Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for rupture including temporary aortic and/or iliac balloon occlusion, when performed (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption) | 34710 | MPFS Status: Active Code APC C Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed; initial vessel treated | 34712 | MPFS Status: Active Code APC C Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation | 34718 | Resequenced Code MPFS Status: Active Code APC C Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, including pre-procedure sizing and device selection, all ipsilateral selective iliac artery catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally in the internal iliac, external iliac, and common femoral artery(ies), and treatment zone angioplasty/stenting, when performed, for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, penetrating ulcer), unilateral | 34841 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) | 34842 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34843 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34844 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34845 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) | 34846 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34847 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) | 34848 | MPFS Status: Carrier Priced APC C Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) |
| 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. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure 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 | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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Notes
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| 2020-01-01 | Note | AMA Guidelines changed. |
| 2019-03-06 | Changed | Per CPT Errata, Guidelines revised. |
| 2018-01-01 | Changed | Long medium and short descriptions changed. AMA guidelines changed. |
| 2018-01-01 | Note | AMA Guidelines changed. |
| 2011-01-01 | Changed | Short description changed. Guideline information changed. |
| 2006-01-01 | Changed | Code description changed. |
| 2003-01-01 | Added | First appearance in code book in 2003. |
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