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AAPC CPC Exam - Topic 3 Question 57 Discussion

Actual exam question for AAPC's CPC exam
Question #: 57
Topic #: 3
[All CPC Questions]

A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair. An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.

What CPT code does the vascular surgeon use to report the procedure?

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Suggested Answer: A

The emergent endovascular repair of an infrarenal abdominal aortic aneurysm with an aorto-aortic tube endograft is coded with CPT 34702. This code includes the deployment of the endograft and the necessary balloon angioplasty for sealing the proximal and distal attachment zones.


AMA's CPT Professional Edition (current year)

by Myra at Jan 25, 2026, 03:15 AM

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Kristel
1 day ago
Hmm, 34800 seems right, but I'm curious if the balloon angioplasty for endoleak treatment could be billed separately. Anyone know?
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Alton
6 days ago
34800 is the correct code. The balloon dilation at the seal zones is part of the endovascular repair procedure.
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Stacey
11 days ago
Definitely 34800. The question clearly describes an endovascular repair of an infrarenal aortic aneurysm using an aorto-aortic tube endograft.
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Mitsue
17 days ago
34800 - Endovascular repair of infrarenal aortic aneurysm or dissection, using aorto-aortic tube endograft.
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Flo
22 days ago
I feel like the code might be 34701 for the balloon angioplasty part, but I need to double-check the guidelines on that.
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Hillary
27 days ago
This reminds me of a practice question we did on endoleaks; I think it was 34800 for the repair, but I might be mixing it up with something else.
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Patria
2 months ago
I remember something about needing to specify the type of endograft used, but I can't recall if that affects the code.
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Lonny
2 months ago
I think the CPT code for endovascular repair of an aortic aneurysm is in the 34700 range, but I'm not completely sure.
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Izetta
2 months ago
Wait, I'm a little confused. Is the balloon dilation considered part of the endograft placement, or is it a separate procedure? That could affect the coding.
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Helene
2 months ago
I feel pretty confident about this. The balloon angioplasty for endoleak treatment is likely reported separately, maybe with a 35476 code.
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Hector
2 months ago
Okay, let me think this through. The key is that this is an endovascular repair with balloon dilation, so I'm guessing the code would be in the 34700 series.
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Donte
3 months ago
Hmm, I'm not totally sure about this. Is there a more specific code for endoleak treatment with balloon angioplasty?
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Daron
3 months ago
I think I know this one. The CPT code for an aorto-aortic tube endograft placement with balloon dilation at the seal zones would be 34709.
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