2025 CPT code 35091
Effective Date: N/A Surgery - Cardiovascular System Feed
Direct repair of an abdominal aortic aneurysm involving visceral vessels, or excision and graft insertion with or without a patch graft, for aneurysm, pseudoaneurysm, and associated occlusive disease.
Modifiers may be applicable in certain situations, such as increased procedural services (22) or the involvement of multiple surgeons (62).
Medical necessity must be established by documenting the presence of the aneurysm or pseudoaneurysm and its associated symptoms and risks. Imaging studies, such as CT scans or ultrasounds, should support the diagnosis.
The surgeon is responsible for performing the surgical repair of the aneurysm or pseudoaneurysm. This includes making the incision, dissecting the surrounding structures, clamping the affected vessels, repairing the defect with sutures or graft material, and closing the incision.
In simple words: This procedure involves fixing a bulge or leak in the main artery of the belly, which also affects nearby arteries that supply blood to the intestines, liver, spleen, stomach, and kidneys.The surgeon opens the abdomen, repairs the damaged part of the artery by stitching it together or using a patch or graft material, and then closes the incision.
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 involving visceral vessels (mesenteric, celiac, renal).
Example 1: A patient presents with an abdominal aortic aneurysm that involves the celiac artery. CPT code 35091 is used for the repair of the aneurysm., A patient has a pseudoaneurysm of the abdominal aorta that affects the superior mesenteric artery. CPT code 35091 is reported for the surgical correction., A patient with an abdominal aortic aneurysm extending to the renal arteries requires repair, and CPT code 35091 is assigned for the direct repair.
Operative report detailing the size and location of the aneurysm/pseudoaneurysm, the extent of visceral vessel involvement, the type of repair performed (direct repair vs. graft/patch), and any intraoperative complications.
- Place of Service:Inpatient Hospital