2025 CPT code 35901
(Active) Effective Date: N/A Revision Date: N/A Surgery - Repair, Excision, Exploration, Revision Procedures on Arteries and Veins Surgical Procedures on the Cardiovascular System Feed
Excision of an infected vascular graft in the neck.
Modifiers may apply based on the circumstances of the procedure. For example, modifier 51 (multiple procedures) may be used if additional procedures are performed during the same session. Consult the current CPT manual for details on modifier usage.
Medical necessity for the excision of an infected vascular graft is established by the presence of a clinically documented infection.Documentation should clearly support the need for surgical intervention due to the potential risks associated with leaving the infected graft in place (sepsis, further infection spread).
The clinical responsibility lies with the surgeon.This includes preoperative planning, performing the excision of the infected graft with precise surgical technique, ensuring hemostasis, and completing the procedure with appropriate wound closure.
- Surgical Procedures on the Cardiovascular System
- Surgical Procedures on the Cardiovascular System > Repair, Excision, Exploration, Revision Procedures on Arteries and Veins
In simple words: The doctor removes an infected artificial blood vessel from the patient's neck during surgery. This involves making a cut in the neck, carefully removing the infected part, sewing the blood vessel back together, and closing the incision.
This CPT code, 35901, reports the surgical excision of an infected vascular graft located in the neck.The procedure involves making an incision in the neck to access the infected graft, carefully clamping the vessel on either side of the infected area, excising the infected graft, meticulously suturing the vessel, and finally closing the surgical incisions.The procedure requires precision to avoid damaging surrounding structures.
Example 1: A patient presents with a neck infection originating from a previously implanted vascular graft.The surgeon performs an excision of the infected graft under general anesthesia. Postoperative antibiotics are prescribed. , A patient with a history of neck surgery and a vascular graft experiences recurring infection at the graft site.The surgeon excises the infected graft and performs a subsequent revascularization procedure, which requires additional coding., A patient develops an infection around a vascular graft in the neck. A thorough examination reveals the graft to be the source. Following appropriate antibiotic treatment, surgical excision is performed to remove the infected portion. Cultures and sensitivities are ordered to determine the specific organism to inform further management.
* Preoperative diagnosis clearly indicating infection of the vascular graft.* Operative report detailing the surgical approach, steps taken during the procedure (incision, clamping, excision, repair, and closure), and the location (neck) of the graft.* Pathology report confirming the presence of infection and identifying the organism if possible.* Postoperative notes documenting the patient’s recovery.* Any imaging studies such as ultrasound or CT scans.
** This code should be used only for excision of infected grafts. If the graft is not infected, a different code should be selected.The location of the graft (neck) is an essential component of this code.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: This information is not available in the provided text.RVUs vary based on geographic location and other factors; consult your local Medicare Administrative Contractor (MAC) for the most up-to-date information.
- Global Days: The global surgical period for this procedure is not specified in the provided data.Refer to the most recent CPT guidelines and your local payer's policy for further information.
- Payment Status: Active
- Modifier TC rule: Not applicable for this code.
- Fee Schedule: Historical fee schedule data is not available in the provided text. Consult your local payer's fee schedules for historical and current reimbursement rates.
- Specialties:Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center