2025 CPT code 35011
Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Direct repair of aneurysm, pseudoaneurysm, or excision and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision.
Modifiers such as 22 (Increased Procedural Services), 51 (Multiple Procedures), 59 (Distinct Procedural Service), 62 (Two Surgeons), and 66 (Surgical Team) may be applicable depending on the specific circumstances of the procedure.
Medical necessity must be established by documenting the patient's symptoms, such as pain, numbness, weakness, or decreased blood flow to the arm. Imaging studies, such as ultrasound or angiography, can be used to confirm the diagnosis of aneurysm and associated occlusive disease. The documentation should demonstrate that the procedure is necessary to restore normal blood flow, alleviate symptoms, or prevent complications such as rupture or limb ischemia.
The surgeon makes an incision in the arm, dissects the tissues around the axillary-brachial artery, repairs the aneurysm or blockage by suturing the artery together, and may use a graft or patch to reinforce the repair.
In simple words: This procedure fixes a bulge (aneurysm) or blockage in the artery of the arm. The surgeon makes a cut in the arm, repairs the artery, and may use a patch or graft to strengthen the repair.
This procedure involves making an incision in the arm to access the axillary-brachial artery. The surgeon then repairs the aneurysm and any associated occlusive disease by either directly repairing the artery or inserting a graft. A patch graft may also be used.
Example 1: A patient presents with an aneurysm and occlusive disease in the axillary-brachial artery. CPT code 35011 is used for the direct repair and graft insertion., A patient has a pseudoaneurysm in the axillary-brachial artery with associated blockage. CPT code 35011 is used for the excision and graft insertion., A patient has a small aneurysm in the axillary-brachial artery causing reduced blood flow. CPT code 35011 is used for the partial excision, direct repair, and patch graft application.
Documentation should include the operative report detailing the size and location of the aneurysm, the extent of the occlusive disease, the type of repair performed (direct repair or graft insertion), and whether a patch graft was used. Any intraoperative complications should also be documented.
- Specialties:Vascular Surgery, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center