2025 CPT code 35002
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Direct repair of a ruptured aneurysm in the carotid or subclavian artery, including graft insertion with or without a patch graft.
Modifiers may be applicable depending on the specific circumstances of the procedure.For example, modifier 59 (distinct procedural service) might be necessary if additional procedures are performed. Consult the most recent CPT coding guidelines for modifier use.
Medical necessity is established by the presence of a life-threatening ruptured aneurysm requiring immediate intervention.Delaying treatment poses a significant risk of stroke, hemorrhage, and death.
The surgeon is responsible for all aspects of the procedure, including incision, dissection, aneurysm removal, arterial repair (either direct or with graft), and wound closure.This requires a high level of surgical skill and knowledge of vascular anatomy and techniques.
In simple words: The doctor makes a cut in the neck to reach a damaged artery. They remove the damaged part of the artery and either sew the ends back together or use a graft (like a patch) to repair it. Then, they stitch the skin closed.
This procedure involves a neck incision to access the carotid or subclavian artery.The surgeon removes the ruptured aneurysm and any occlusions. The artery is then repaired directly, or a graft (and possibly a patch graft) is used to replace the affected section. The incision is then closed.
Example 1: A 65-year-old male presents with a ruptured carotid artery aneurysm.The surgeon performs a neck incision, removes the aneurysm, and performs a direct end-to-end anastomosis., A 70-year-old female with a subclavian artery aneurysm that has ruptured. The surgeon performs a neck incision, removes the aneurysm, and inserts a synthetic graft to repair the artery., A 58-year-old male presents with a ruptured carotid artery aneurysm, and the surgeon uses a patch graft along with the primary repair to ensure sufficient blood flow.
Preoperative imaging (angiography, CT scan) clearly showing the aneurysm and its location.Intraoperative photographs or images documenting the procedure steps.Pathology report confirming the nature of the aneurysm. Complete operative notes detailing the technique used (direct repair or graft), type of graft, and any complications. Postoperative imaging to verify successful repair and patency of the artery.Details of any postoperative complications and management.
** This code is used for the treatment of ruptured aneurysms.Non-ruptured aneurysms may be treated with different codes.Always ensure proper documentation and adherence to coding guidelines.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- Payment Status: Active
- Modifier TC rule: This code doesn't appear to have a technical component (TC) modifier rule explicitly associated with it.However, always refer to the current CPT guidelines and NCCI edits for possible TC modifier considerations.
- Specialties:Vascular Surgery, Cardiovascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center