2025 CPT code 35102
Effective Date: N/A Surgery - Cardiovascular System Surgery Feed
Repair of an aneurysm, pseudoaneurysm, or occlusion of the abdominal aorta involving the iliac vessels.
Modifiers may be applicable depending on the specific circumstances (e.g., 22 for increased procedural services, 50 for bilateral procedures, etc.)
Medical necessity for 35102 is established by the presence of a symptomatic or rapidly enlarging aneurysm, pseudoaneurysm, or occlusion that poses a significant risk to the patient's health.
The surgeon makes an abdominal or retroperitoneal incision, dissects surrounding structures to expose the aneurysm or pseudoaneurysm, clamps the affected area, and performs the repair with sutures or a graft. A patch graft may also be used.
In simple words: This procedure involves repairing a weakened or bulging area in the main artery of the abdomen (abdominal aorta) and the arteries that lead to the legs (iliac vessels).The surgeon makes an incision in the abdomen, accesses the affected area, and either stitches the artery closed or replaces the damaged section with a graft. Sometimes a patch is also used to reinforce the repair.
Direct repair of aneurysm, false aneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, false aneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external)
Example 1: A patient presents with a large abdominal aortic aneurysm that is causing pain and is at risk of rupturing. The surgeon performs a 35102 to repair the aneurysm with a graft., A patient has a pseudoaneurysm of the iliac artery following a catheterization procedure.The surgeon performs a 35102 to repair the pseudoaneurysm with a direct suture repair., A patient has an occlusion (blockage) of the abdominal aorta and iliac arteries due to atherosclerosis. The surgeon performs a 35102 to remove the blockage and insert a graft to restore blood flow.
Operative report detailing the size and location of the aneurysm/pseudoaneurysm, the type of repair performed (direct repair, graft, patch), and any complications encountered. Pre- and post-operative imaging studies (e.g., CT, ultrasound) documenting the condition.
- Revenue Code: P2B
- Specialties:Vascular Surgery, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center