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2025 CPT code 35201

Repair of a blood vessel in the neck using direct suture.

Follow CPT guidelines for vascular procedures, including appropriate coding for additional catheterizations.Consult Appendix L for anatomic guidance.

Modifiers may apply depending on circumstances.Consult the CPT manual for appropriate modifier use.

The medical necessity for 35201 is established when a patient has a condition necessitating direct repair of a blood vessel in the neck to restore blood flow, prevent further complications, or manage life-threatening bleeding.Documentation must support the presence of this condition.

The surgeon is responsible for all aspects of the procedure, from pre-operative preparation and incision to post-operative monitoring and wound closure.

IMPORTANT:Do not report 35201 with 33969, 33984, 33985, 33986. For AV fistula repair, see codes 35180-35190. For unlisted vascular procedures, use 37799.

In simple words: The doctor makes a cut in the neck over a damaged blood vessel.They stop the bleeding and sew the vessel back together. Then they check the blood flow and close the cut.

This procedure involves surgical repair of a blood vessel in the neck.The surgeon makes an incision over the affected vessel, carefully dissects surrounding tissues, and controls bleeding using clamps and manual pressure. The damaged vessel is prepared, and the edges are meticulously repaired using sutures.Post-repair, the surgeon verifies blood flow (e.g., using Doppler ultrasound) and closes the incision in layers.

Example 1: A patient presents with a traumatic injury to the carotid artery resulting in significant bleeding. The surgeon performs an immediate repair of the carotid artery using direct suture technique (35201)., A patient undergoes a carotid endarterectomy, and during the procedure, an unexpected tear in the carotid artery occurs.The surgeon repairs the tear using direct suture (35201)., A patient with a congenital anomaly of the internal jugular vein experiences a spontaneous rupture. The surgeon performs an emergency repair of the vein utilizing direct suture (35201).

* Preoperative and postoperative patient evaluations.* Operative report detailing the technique used, length of the procedure, blood loss, and any complications encountered.* Intraoperative images (e.g., angiography).* Documentation of postoperative monitoring (e.g., Doppler ultrasound).* Pathology report (if applicable).

** This code is used for direct suture repair of blood vessels in the neck.The use of other repair techniques would require different codes.

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