CPT code 34713 is used for procedures involving percutaneous access and closure of the femoral artery.
CPT code 34713 is used to describe the procedure of percutaneous access and closure of the femoral artery. This code is typically utilized in the context of endovascular procedures, where a catheter is inserted through the skin into the femoral artery to perform various interventions. The "percutaneous" aspect refers to the minimally invasive nature of the access, which is achieved through a small puncture rather than a large incision. The "closure" part of the code indicates that, after the procedure is completed, the access site in the femoral artery is closed using specific techniques or devices to ensure proper healing and to minimize complications such as bleeding. This code is often used in conjunction with other codes that describe the primary procedure being performed, such as the placement of a stent or other vascular interventions.
For CPT code 34713, which involves percutaneous access and closure of the femoral artery, the following modifiers may be applicable:
1. Modifier 26 - Professional Component: This modifier is used when the service provided is the professional component only, such as the interpretation of a diagnostic test.
2. Modifier 52 - Reduced Services: This modifier is applicable if the procedure was partially reduced or eliminated at the physician's discretion.
3. 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.
4. Modifier 62 - Two Surgeons: If two surgeons are required to perform the procedure, this modifier indicates that each surgeon is performing a distinct part of the procedure.
5. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same procedure is repeated by the same physician.
6. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when the same procedure is repeated by a different physician.
7. 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 related procedure is performed during the postoperative period of the initial procedure.
8. 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.
9. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required for the procedure.
10. Modifier 81 - Minimum Assistant Surgeon: This modifier is used when a minimum assistant surgeon is required for the procedure.
11. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): This modifier is used when an assistant surgeon is required and a qualified resident surgeon is not available.
12. Modifier 99 - Multiple Modifiers: This modifier is used when two or more modifiers are necessary to describe the service provided.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. Always verify with the latest coding guidelines and payer-specific requirements, as these can vary.
CPT code 34713 is reimbursed by Medicare, but the reimbursement is subject to specific conditions and guidelines. The Medicare Physician Fee Schedule (MPFS) provides the reimbursement rates for services covered under Medicare Part B, including CPT code 34713. However, the actual reimbursement can vary based on geographic location and other factors, as determined by the local Medicare Administrative Contractor (MAC). Each MAC is responsible for processing claims and setting local coverage determinations, which can influence whether and how a particular service is reimbursed. Therefore, healthcare providers should consult the MPFS and their respective MAC for the most accurate and up-to-date information regarding reimbursement for CPT code 34713.
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