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2025 CPT code 35206

Repair blood vessel, direct; upper extremity.

Refer to the CPT guidelines for surgery and the cardiovascular system for proper coding of vascular procedures.

Modifiers may be applicable. Refer to the provided list and descriptions for usage guidelines.

Medical necessity for 35206 is established by the presence of a damaged blood vessel in the upper extremity requiring surgical repair to restore normal blood flow and prevent complications such as ischemia or hemorrhage.

The physician is responsible for the entire procedure, from prepping and anesthetizing the patient to making the incision, repairing the vessel, checking blood flow, and closing the incision.This includes controlling bleeding and ensuring proper wound care.

IMPORTANT:(Do not report 35206 in conjunction with 33969, 33984, 33985, 33986)Use 35207 if the provider repairs vessels of the hands or fingers.

In simple words: This procedure involves fixing a damaged blood vessel in the arm. The surgeon makes a cut to access the vessel, stops the bleeding, cleans the area, and stitches the vessel back together. They then check to make sure the blood is flowing properly and close the incision.

Direct repair of a blood vessel in the upper extremity. This includes controlling bleeding, cleaning the vessel, preparing the wound edges, suturing the repair, checking blood flow, and closing the incision.

Example 1: A patient presents with a lacerated brachial artery following a deep cut in the upper arm. The surgeon performs a direct repair of the artery using 35206., A patient with a traumatic injury to the forearm has a damaged radial artery. The surgeon performs a direct repair of the artery using 35206., During a previous surgery, a patient's ulnar artery was damaged.The surgeon performs a direct repair of the ulnar artery using 35206.

Documentation should include the cause and location of the vascular injury, the method of repair, the type of suture material used, confirmation of restored blood flow (e.g., Doppler ultrasound findings), and any complications encountered.

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