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2025 CPT code 35905

Excision of an infected graft in the thorax.

The code includes all necessary steps to remove the infected graft. It is important to note if any additional procedures, such as reconstruction or placement of a new graft, were performed, as these may require separate coding.

Modifiers may be applicable depending on the circumstances of the procedure (e.g., increased procedural services, assistant surgeon).

Medical necessity should be established by documenting the presence of an infection in the graft, indicating the need for its removal.

The surgeon performs the procedure after the patient is properly prepared and anesthetized.This includes making an incision to access the graft, dissecting the necessary vessels, removing the infected graft, and closing the incision.

In simple words: Removal of an infected graft in the chest.

This procedure involves the surgical removal of a previously placed infected vascular graft in the chest (thorax).The procedure includes accessing the infected graft, excising the infected tissue, and repairing the surrounding tissues.

Example 1: A patient with a history of a coronary artery bypass graft (CABG) presents with signs of infection at the graft site in the chest. The infected graft is surgically removed., A patient who had a previous aorto-subclavian bypass graft develops an infection. The surgeon removes the infected portion of the graft from the chest., An arteriovenous (AV) fistula graft in the thorax becomes infected and needs to be excised.

Documentation should include details about the original graft placement, signs and symptoms of infection, operative findings, and any complications.

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