CPT code 34717 is used for reporting the endovascular repair of an aorto-iliac artery with a stent graft, indicating a specific medical procedure.
CPT code 34717 is used to describe the procedure of endovascular repair of an aorto-iliac artery using a modular bifurcated prosthesis. This code specifically refers to the placement of an extension prosthesis distal to the common iliac artery, which is necessary when the initial endograft does not adequately extend to the desired location. This procedure is typically performed to treat conditions such as aneurysms or blockages in the aorto-iliac region, ensuring proper blood flow and reducing the risk of vascular complications.
For CPT code 34717, which pertains to endovascular repair procedures, several modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers that could be used:
1. Modifier 50 - Bilateral Procedure: Used if the procedure is performed on both sides of the body.
2. Modifier 51 - Multiple Procedures: Applied when multiple procedures are performed during the same surgical session.
3. Modifier 52 - Reduced Services: Used when the procedure is partially reduced or eliminated at the physician's discretion.
4. Modifier 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day.
5. Modifier 62 - Two Surgeons: Used when two surgeons work together as primary surgeons performing distinct parts of a procedure.
6. Modifier 66 - Surgical Team: Applied when a team of surgeons is required to perform the procedure.
7. Modifier 76 - Repeat Procedure by Same Physician: Used when the same procedure is repeated by the same physician.
8. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is repeated by a different physician.
9. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Used when a related procedure is performed during the postoperative period.
10. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure is performed by the same physician during the postoperative period.
11. Modifier 80 - Assistant Surgeon: Used when an assistant surgeon is required for the procedure.
12. Modifier 81 - Minimum Assistant Surgeon: Used when a minimum assistant surgeon is required.
13. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Used when an assistant surgeon is required and a qualified resident surgeon is not available.
14. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Used when the same laboratory test is repeated on the same day to obtain subsequent (multiple) test results.
Each modifier serves a specific purpose and should be used in accordance with the guidelines provided by the American Medical Association (AMA) and payer policies to ensure accurate billing and reimbursement.
The CPT code 34717, which pertains to a specific medical procedure, is subject to reimbursement by Medicare, but this depends on several factors. The Medicare Physician Fee Schedule (MPFS) is a critical resource that outlines the reimbursement rates for services covered under Medicare Part B. To determine if CPT code 34717 is reimbursed, healthcare providers should consult the MPFS to see if the code is listed and what the associated payment rate is.
Additionally, Medicare Administrative Contractors (MACs) play a significant role in the reimbursement process. MACs are responsible for processing Medicare claims and have the authority to make coverage determinations for specific services within their jurisdictions. Therefore, it is essential for healthcare providers to verify with their respective MAC whether CPT code 34717 is covered and reimbursed, as local coverage determinations (LCDs) can vary.
In summary, while CPT code 34717 may be reimbursed by Medicare, providers must check both the MPFS and their MAC's guidelines to confirm coverage and reimbursement specifics.
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