2025 CPT code 35001
(Active) Effective Date: N/A Revision Date: N/A Surgery - Direct Repair of Aneurysm or Excision (Partial or Total) and Graft Insertion Surgical Procedures on Arteries and Veins Feed
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease of the carotid or subclavian artery, accessed via neck incision.
Modifiers may be applicable depending on the specifics of the procedure.Refer to the most recent CPT guidelines and modifier guidance for details.
Medical necessity is established by the presence of an aneurysm or pseudoaneurysm in the carotid or subclavian artery that is symptomatic or poses a significant risk of rupture, or by the presence of associated hemodynamically significant occlusive disease requiring surgical intervention.
The clinical responsibility includes pre-operative evaluation, surgical intervention (neck incision, dissection, aneurysm removal, vessel repair or graft placement, closure), and post-operative care.Anesthesia is typically provided by a separate provider.
- Surgical Procedures on Arteries and Veins
- Surgical Procedures on Arteries and Veins; Direct Repair of Aneurysm or Excision (Partial or Total) and Graft Insertion for Aneurysm, Pseudoaneurysm, Ruptured Aneurysm, and Associated Occlusive Disease Procedures
In simple words: This code covers surgery to fix a weakened or bulging area (aneurysm) in a blood vessel in the neck (carotid or subclavian artery). The surgeon makes a cut in the neck, repairs the damaged area, and may use a graft (a patch or replacement piece) to restore proper blood flow.
This CPT code encompasses the surgical repair of an aneurysm or pseudoaneurysm, or partial/total excision, in the carotid or subclavian artery.The procedure involves a neck incision to access the affected vessel.Repair may include direct suture of the vessel or insertion of a graft, possibly with a patch graft.The procedure addresses the aneurysm and associated occlusive disease.Preparation of the artery for anastomosis and endarterectomy, if performed, are included.
Example 1: A 65-year-old male presents with symptoms suggestive of carotid artery stenosis and a small, asymptomatic carotid aneurysm.The surgeon performs a carotid endarterectomy with repair of the aneurysm using direct suture., A 72-year-old female experiences a sudden onset of neurological deficits secondary to a ruptured carotid aneurysm.Emergency surgery is performed, involving resection of the aneurysm and placement of a prosthetic graft., A 58-year-old male with a history of subclavian artery stenosis undergoes surgery for repair of a subclavian artery pseudoaneurysm.A patch graft is used to reinforce the weakened arterial wall.
Comprehensive pre-operative evaluation (including imaging studies such as CTA/MRA to confirm diagnosis and assess extent of disease), detailed operative report including specifics of the surgical technique used, graft material type and size, intraoperative findings (e.g., presence of thrombus), and post-operative imaging/monitoring findings.
** Always ensure that the documentation accurately supports the chosen code.Appropriate imaging studies (such as carotid ultrasound, CT angiography, or MRI angiography) and other clinical findings must be documented to justify medical necessity.Consider the use of additional codes to capture any associated procedures.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: This information is not available in the provided text and would need to be obtained from a current fee schedule.
- Global Days: The global period for this procedure is not specified in the provided text and varies depending on payer and specific circumstances.
- Payment Status: Active
- Modifier TC rule: The TC modifier may be applicable if the surgical procedure is performed in an outpatient setting and there is a separate technical component involved.
- Fee Schedule: Historical fee schedules are not included.Consult current fee schedules from your specific payer.
- Specialties:Vascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital