2025 CPT code 35081
(Active) Effective Date: N/A Revision Date: N/A Surgery - Direct Repair of Aneurysm or Excision 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, pseudoaneurysm, and associated occlusive disease, abdominal aorta.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT manual for appropriate modifier usage.
Medical necessity for this procedure is established by the presence of a clinically significant aneurysm or pseudoaneurysm in the abdominal aorta that poses a risk of rupture or associated occlusive disease symptoms.The size and rate of growth of the aneurysm and the patient's overall health contribute to the medical necessity assessment.
The vascular surgeon is responsible for the entire procedure, including pre-operative planning, intra-operative repair of the aneurysm or pseudoaneurysm, and post-operative care.
- Surgical Procedures on Arteries and Veins
- Surgical Procedures on Arteries and Veins; Direct Repair of Aneurysm or Excision
In simple words: This code describes a surgery to fix a weakened or bulging area (aneurysm) in the major artery supplying the abdomen.The surgeon will repair the damaged area, possibly removing some of it, and insert a graft (patch) to strengthen the artery.
This CPT code, 35081, encompasses the surgical repair of an aneurysm or pseudoaneurysm in the abdominal aorta.The procedure involves direct repair of the defect, which may include partial or total excision of the affected area.A graft insertion is always part of the procedure, and a patch graft may be used as well. This code is specifically for aneurysms, pseudoaneurysms, and associated occlusive disease of the abdominal aorta, excluding ruptured aneurysms (coded separately).
Example 1: A 70-year-old male presents with an abdominal aortic aneurysm (AAA) measuring 5.5cm in diameter. The patient undergoes an open repair with resection of the aneurysm and insertion of a Dacron graft. Code 35081 is used., A 65-year-old female is diagnosed with an asymptomatic infrarenal abdominal aortic pseudoaneurysm. Surgical repair is recommended and performed. The pseudoaneurysm is excised, and a prosthetic graft is placed. Code 35081 is used., A 75-year-old male presents with an abdominal aortic aneurysm with evidence of associated occlusive disease.The patient undergoes open repair with excision of the aneurysm and aortoiliac graft placement. Code 35081 is used.
Preoperative assessment including imaging (CT scan or ultrasound), operative report detailing the surgical technique and materials used (including graft type and size), pathology report (if tissue is sent for analysis), and postoperative course documentation, including any complications.
** Accurate coding requires precise documentation of the surgical approach, graft type, and presence or absence of associated occlusive disease.Consult a qualified medical billing specialist or coder for any clarification.
- Revenue Code: P2B (Major Procedure, Cardiovascular - Aneurysm Repair)
- RVU: This information varies based on geographic location and payer. Consult the relevant fee schedule for specific RVU values and reimbursement rates.
- Global Days: The global period for this procedure will vary depending on payer and other factors.The information should be found in the local fee schedule.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not typically used with this code, as it represents the entire procedure.
- Fee Schedule: Historical fee schedule data is not included here but is available through various commercial medical billing resources.
- Specialties:Vascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center