CPT code 34705 is used for describing the procedure of evacuating and repairing an aorto-biiliac endograft in medical documentation.
CPT code 34705 is used to describe the procedure of an endovascular repair of an aorto-bi-iliac artery using a modular bifurcated prosthesis. This code specifically pertains to the evacuation and repair of the aorto-bi-iliac region, which involves the placement of a graft to treat aneurysms or other vascular conditions affecting the abdominal aorta and iliac arteries. The procedure is typically performed to reinforce the weakened sections of the artery and prevent rupture, thereby improving blood flow and reducing the risk of complications.
For CPT code 34705, which involves the evacuation and repair of an aorto-bi-iliac endograft, the following modifiers may be applicable:
1. Modifier 22 (Increased Procedural Services): This modifier is used when the work required to perform the procedure is substantially greater than typically required. This could be due to complications or unexpected findings during the procedure.
2. Modifier 50 (Bilateral Procedure): If the procedure is performed bilaterally, this modifier indicates that the procedure was performed on both sides of the body.
3. Modifier 51 (Multiple Procedures): When multiple procedures are performed during the same surgical session, this modifier is used to indicate that more than one procedure was performed.
4. Modifier 52 (Reduced Services): This modifier is used when a service or procedure is partially reduced or eliminated at the physician's discretion.
5. Modifier 59 (Distinct Procedural Service): This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
6. Modifier 62 (Two Surgeons): If two surgeons are required to perform the procedure, this modifier indicates that both surgeons are actively involved in the procedure.
7. Modifier 66 (Surgical Team): This modifier is used when a complex procedure requires the services of a surgical team.
8. Modifier 76 (Repeat Procedure by Same Physician): If the same physician repeats the procedure, this modifier is used to indicate the repetition.
9. Modifier 77 (Repeat Procedure by Another Physician): This modifier is used when a procedure is repeated by a different physician.
10. Modifier 78 (Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period): This modifier is used when a patient returns to the operating room for a related procedure during the postoperative period.
11. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period): This modifier is used when an unrelated procedure is performed by the same physician during the postoperative period.
These modifiers help provide additional information about the circumstances of the procedure and ensure accurate billing and reimbursement. It is important to use them appropriately to reflect the specific details of the service provided.
CPT code 34705, which involves a specific medical procedure, is subject to reimbursement considerations under Medicare. To determine if this code is reimbursed by Medicare, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services and their corresponding reimbursement rates, which are updated annually.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in the reimbursement process. MACs are responsible for processing Medicare claims and can provide region-specific guidance on whether CPT code 34705 is covered and reimbursed. It's important for healthcare providers to consult their local MAC for the most accurate and up-to-date information regarding the reimbursement status of CPT code 34705. This ensures compliance with Medicare policies and helps optimize revenue cycle management.
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