2025 CPT code 35372
(Active) Effective Date: N/A Surgical Procedures on the Cardiovascular System - Cardiovascular System Surgery Feed
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral artery.
Modifiers may be applicable in certain circumstances, such as increased procedural services (modifier 22), bilateral procedures (modifier 50), or staged procedures (modifier 58).Refer to CPT guidelines for appropriate modifier usage.
Medical necessity for this procedure must be clearly documented and should relate to symptoms or conditions caused by the blockage in the deep femoral artery. This may include acute limb ischemia, claudication, rest pain, or tissue loss.
The surgeon is responsible for all aspects of the procedure, including incision, removal of the thrombus and plaque, patching the artery if needed, and closing the incision.This includes ensuring proper blood flow is restored to the affected area.
In simple words: The surgeon removes a blood clot and any blockage from the deep femoral artery in the thigh. Sometimes, a patch is used to repair the artery.
This procedure involves the removal of a thrombus (blood clot) and plaque from the deep femoral artery, often accompanied by a patch graft if necessary.The procedure includes making an incision to access the artery, clamping the artery, removing the thrombus and plaque buildup, and potentially patching the artery with a graft before closing the incision.
Example 1: A patient presents with acute leg pain and diminished pulses due to a thromboembolism in the deep femoral artery. The surgeon performs a thromboendarterectomy to remove the clot and restore blood flow., A patient with peripheral artery disease has significant stenosis (narrowing) of the deep femoral artery causing claudication (pain with walking).A thromboendarterectomy is performed to remove the plaque and widen the artery, improving blood flow and reducing pain., A patient with a history of atherosclerosis develops a large thrombus in the deep femoral artery threatening limb viability.A thromboendarterectomy is performed to remove the blockage and prevent limb loss. The surgeon also uses a patch graft to repair the artery due to extensive plaque removal.
Documentation should include the diagnosis leading to the need for the procedure (e.g., acute limb ischemia, peripheral artery disease), the location and extent of the thrombus or stenosis, the use of a patch graft (if applicable), and any complications encountered.Operative notes should detail the surgical approach, findings, and techniques used.
- Revenue Code: P2F
- Payment Status: Active
- Specialties:Vascular Surgery, Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center