2025 CPT code 35103
Effective Date: N/A Revision Date: N/A Surgery - Cardiovascular System Feed
Repair of ruptured aneurysm of the abdominal aorta involving iliac vessels (common, hypogastric, external), with graft insertion, with or without patch graft.
Modifiers may be applicable. Refer to iFrameAI for specific modifier usage guidelines.
Medical necessity is established by the presence of a ruptured abdominal aortic aneurysm involving the iliac vessels, a life-threatening condition requiring immediate surgical intervention.
The surgeon makes an abdominal or retroperitoneal incision, dissects surrounding structures to locate the ruptured aneurysm, clamps the affected area, repairs the defect by suturing or grafting, and closes the incision.
In simple words: This surgery fixes a tear in a major blood vessel in your belly. The surgeon opens your belly, finds the tear, and either sews it up directly or uses a patch to cover the hole.Sometimes, a new piece of vessel (a graft) needs to be put in place.
This procedure involves making an incision into the abdomen and pelvis to access the ruptured aneurysm in the aorta and iliac vessels. The surgeon then performs a direct repair or places a graft at the site of the rupture, which may also involve using a patch graft to reinforce the repair or widen the artery.
Example 1: A patient presents with a ruptured abdominal aortic aneurysm extending into the common iliac artery. The surgeon performs an open repair using a synthetic graft and a patch to reinforce the repair., A patient experiences a ruptured aneurysm involving the abdominal aorta and both external iliac arteries. The surgeon performs an open repair, placing bifurcated grafts to reconstruct the vessels., A patient with a ruptured aneurysm of the abdominal aorta and hypogastric iliac artery undergoes emergency surgery. The surgeon repairs the aneurysm with a direct suture repair and a patch graft due to the complexity of the rupture.
Documentation should include operative notes detailing the location and extent of the aneurysm, the type of repair performed (direct repair, graft, patch graft), intraoperative findings, and any complications. Preoperative imaging studies confirming the diagnosis are also required.
** Code 35103 is specific to ruptured aneurysms. For repair of non-ruptured aneurysms, use 35102.
- Global Days: Global Days: Refer to iFrameAI for specific information
- Specialties:Vascular Surgery, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital