2025 CPT code 35883
(Revised) Effective Date: N/A Revision Date: N/A Surgery - Repair, Excision, Exploration, Revision Procedures on Arteries and Veins Surgical Procedures on Arteries and Veins Feed
Open revision of a femoral anastomosis of a synthetic arterial bypass graft using a non-autogenous patch graft.
Modifiers 50 (bilateral procedure) and others as clinically appropriate may be used.
Medical necessity is established by clinical findings indicating compromised blood flow in the lower extremity due to a defect or dysfunction at the femoral anastomosis of a synthetic bypass graft.Angiography (or another suitable imaging modality) should demonstrate the need for the procedure. The procedure is medically necessary to restore adequate blood flow, preventing limb ischemia.
The surgeon is responsible for the entire procedure, including pre-operative planning, incision and access, preparation of the site and patch graft, suturing, ensuring proper blood flow, and wound closure.Post-operative care is separately reported.
In simple words: This code describes a surgical procedure to repair a connection between a synthetic (artificial) blood vessel graft and the femoral artery (a major artery in the leg).The surgeon uses a patch made from a material other than the patient's own tissue to fix the connection.
This CPT code encompasses the open surgical revision of a femoral anastomosis (connection) of a synthetic arterial bypass graft.The procedure involves using a non-autogenous patch graft (a graft not from the patient's own tissue), such as polyester, ePTFE, or bovine pericardium, to repair the connection between the graft and the femoral artery. The surgeon makes an incision in the groin, prepares the site, sutures the patch, and ensures proper blood flow before closing the wound.
Example 1: A patient presents with a failing synthetic femoral-popliteal bypass graft, showing signs of leakage at the femoral anastomosis. The surgeon performs an open revision, using a polyester patch graft to reinforce the weakened area. , During a routine follow-up, a patient's previously successful femoral-popliteal bypass graft is found to have a narrowing (stenosis) at the femoral anastomosis. An open surgical revision is conducted using a bovine pericardium patch graft to restore adequate blood flow., A patient experienced a rupture at the femoral anastomosis of a synthetic bypass graft, requiring emergency surgery.An open revision was performed, and a PTFE patch was used to repair the rupture. The surgeon ensured proper haemostasis and restored blood flow to the leg.
Preoperative assessment including the patient's history, physical examination findings, and imaging studies (angiography) demonstrating the location and extent of the defect at the femoral anastomosis. Intraoperative documentation should detail the surgical technique, type and size of the patch graft, details of any complications, and the restoration of adequate blood flow.Postoperative assessment should include monitoring of the graft patency and the patient's clinical status.
** The choice of patch graft material will depend on surgeon preference and patient factors.Adequate documentation is essential for proper reimbursement.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable. This is a surgical procedure.
- Specialties:Vascular Surgery, Cardiovascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital