2025 CPT code 35876
Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft.
Modifiers may be applicable. Refer to current CPT guidelines for modifier usage.
Medical necessity must be established by documenting the symptoms and diagnostic findings related to the clotted graft. The documentation should support the need for the intervention.
The surgeon is responsible for preparing the patient, making the incision, exposing the graft, controlling blood flow, removing the clot, revising the graft, restoring blood flow, and closing the incision.
In simple words: The doctor removes a blood clot from a blood vessel graft (not one used for dialysis) and repairs the graft, possibly by adding a patch. This involves making a cut, accessing the graft, stopping blood flow, taking out the clot, fixing the graft, restarting blood flow, and stitching up the cut.
The procedure involves removing a blood clot from an arterial or venous graft, excluding grafts used for hemodialysis, and revising the existing graft. The revision may involve patching the graft.The surgeon makes an incision, exposes the graft, clamps the blood flow, removes the clot, repairs the graft with a patch, restores blood flow, and closes the incision. This code does not include thrombectomy of hemodialysis grafts or fistulas.
Example 1: A patient presents with a clotted femoral-popliteal bypass graft. The surgeon performs a thrombectomy and revises the graft with a patch., A patient with a clotted brachial artery graft undergoes thrombectomy and graft revision., A patient has a thrombosed arteriovenous graft in the leg (not for dialysis). The surgeon performs a thrombectomy and revises the graft.
Documentation should include details of the thrombectomy, the type of graft revision (e.g., patching), the location of the graft, and the reason for the procedure.Preoperative and postoperative conditions should be documented.
- Revenue Code: P2F - MAJOR PROCEDURE, CARDIOVASCULAR - OTHER
- Specialties:Vascular Surgery, Cardiovascular Surgery, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center