2025 CPT code 35082
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Direct repair of a ruptured abdominal aortic aneurysm, with or without graft insertion and patch graft.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 59 for distinct procedural service, 22 for increased procedural service).
Medical necessity for code 35082 is established by the presence of a ruptured abdominal aortic aneurysm. The procedure is required to prevent life-threatening hemorrhage.
The surgeon is responsible for the entire procedure, including incision, dissection, aneurysm excision, arterial repair or grafting, and wound closure.
- Surgery
- 35001-35152 (Procedures include preparation of artery for anastomosis including endarterectomy. For direct repairs associated with occlusive disease only, see 35201-35286)
In simple words: The doctor operates to fix a burst blood vessel (aneurysm) in the belly. They open the belly, repair or replace the damaged part of the artery, and close the incision.
This procedure involves surgical repair of a ruptured aneurysm in the abdominal aorta.The surgeon makes an abdominal incision to access the aneurysm, clamps the proximal and distal ends, and then excises the aneurysmal portion of the aorta. The remaining ends of the artery are then directly sutured together, or a graft (synthetic or biological material) is inserted to replace the excised segment.A patch graft may also be used to reinforce the repair. The incision is then closed in layers.
Example 1: A 70-year-old male presents to the emergency room with severe abdominal pain and hypotension.Imaging reveals a ruptured abdominal aortic aneurysm.The patient undergoes emergent open surgical repair with graft placement using code 35082., A 65-year-old female with a history of hypertension experiences sudden onset of severe back pain radiating to the groin.A CT scan confirms a ruptured abdominal aortic aneurysm. She undergoes emergency laparotomy and repair with a Dacron graft (code 35082)., An 80-year-old male with a known abdominal aortic aneurysm presents with increasing abdominal pain and pulsatile mass.Angiography confirms rupture. The patient is taken to the operating room for emergency open surgical repair using code 35082; a prosthetic graft is used to repair the defect.
Preoperative imaging (CT scan, ultrasound), operative report detailing the surgical technique (including graft type and size, if applicable), and postoperative imaging to assess the repair.
** This code is used for open surgical repair; it does not encompass endovascular approaches.The use of a graft is included in the code.
- Revenue Code: P2B (MAJOR PROCEDURE, CARDIOVASCULAR - ANEURYSM REPAIR)
- Payment Status: Active
- Specialties:Vascular Surgery, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center