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2025 CPT code 35151

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, false aneurysm, and associated occlusive disease, popliteal artery

Procedures 35001-35152 include preparation of artery for anastomosis, including endarterectomy. For direct repairs associated with occlusive disease only, see 35201-35286.

Modifiers may be applicable to this code. See the provided ModifierCrosswalk.

Medical necessity is established by documentation of symptoms impacting daily life (e.g., pain, claudication, non-healing ulcers) or the risk of limb loss due to compromised blood flow.

The surgeon makes an incision below the knee, exposes the popliteal artery, and repairs the aneurysm or pseudoaneurysm. This may involve removing the damaged section, suturing the artery, or inserting a graft. A patch graft might be used for reinforcement.

In simple words: This procedure repairs a bulge or blockage in the artery behind the knee. The surgeon may remove the damaged part of the artery and replace it with a graft, sometimes using a patch to reinforce the repair.

This procedure addresses aneurysms, pseudoaneurysms, and associated occlusive disease in the popliteal artery. It involves direct repair, excision (partial or total), and graft insertion, with or without a patch graft.

Example 1: A patient presents with a large popliteal artery aneurysm causing pain and circulatory issues. The surgeon performs a direct repair, excising the aneurysm and inserting a graft to restore normal blood flow., A patient with a pseudoaneurysm in the popliteal artery undergoes this procedure. The surgeon excises the pseudoaneurysm and repairs the artery with a patch graft., A ruptured popliteal artery aneurysm requires emergency surgery. The surgeon performs this procedure to control bleeding, excise the damaged section, and insert a graft to restore blood flow.

Documentation should include details of the aneurysm/pseudoaneurysm size and location, presence of occlusive disease, type of repair performed (direct repair, excision, graft/patch graft insertion), and intraoperative findings.

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