2025 CPT code 35184
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Arteriovenous Fistula Repair Procedures Surgical Procedures on Arteries and Veins Feed
Repair of a congenital arteriovenous fistula in the extremities.
Modifiers may apply depending on the circumstances of the procedure.Examples include modifiers for multiple procedures (51), reduced services (52), or assistant surgeon (80).
Medical necessity for surgical repair is established when the arteriovenous fistula causes symptoms such as pain, swelling, significant hypertrophy, high-output cardiac failure, or risk of rupture and hemorrhage.Documentation must support the clinical indication for the surgery.
The surgeon is responsible for performing the surgical repair, including incision, isolation of the fistula, division of the abnormal connection, repair of the vessels (with sutures or graft if needed), verification of restored blood flow, and closure of the incision.
- Surgical Procedures on Arteries and Veins
- Surgical Procedures on Arteries and Veins > Arteriovenous Fistula Repair Procedures
In simple words: The doctor surgically repairs an abnormal connection between an artery and vein in an arm or leg that was present since birth. This involves making an incision, closing the abnormal connection, and repairing the vessels to restore normal blood flow.
This procedure involves surgical repair of a congenital arteriovenous fistula located in the extremities.The surgeon makes an incision to access the fistula, applies clamps to isolate it, and then severs the abnormal connection between the artery and vein.Individual vessels are repaired using sutures or a graft material as needed.The surgeon verifies the restoration of normal blood flow using a Doppler probe, and closes the incision in layers to prevent hematoma formation.
Example 1: A 25-year-old patient presents with a congenital arteriovenous fistula in the forearm causing pain, swelling, and a palpable thrill.Surgical repair is indicated., A 10-year-old child with a large congenital arteriovenous fistula in the leg experiencing significant hypertrophy and growth distortion undergoes surgical correction., An adult patient with a high-flow congenital arteriovenous fistula in the upper extremity that has caused significant heart strain requires surgical intervention to reduce blood flow.
Preoperative assessment, including imaging (e.g., ultrasound, angiography) to delineate the fistula anatomy, operative report detailing the surgical technique, intraoperative findings (e.g., size of fistula, vessel repair methods), postoperative assessment of blood flow and wound healing, and any complications encountered.
** Always refer to the most recent CPT codebook and payer guidelines for the most current information.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: The relative value units (RVUs) for CPT code 35184 vary based on geographic location, facility type, and other factors.Consult your local Medicare fee schedule or other payer-specific information for precise values.
- Global Days: The global period for this procedure would need to be determined based on the specific payer's guidelines.It is not explicitly defined within the CPT code itself.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) does not usually apply to this surgical procedure, as it is typically performed by the surgeon.
- Fee Schedule: Fee schedule data is not included within the source.Historical fee schedules can be accessed through the AMA's CPT website or other relevant databases.A sample price of $3448.00 is present in a separate data source.
- Specialties:Vascular surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital