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2025 CPT code 35207

Direct repair of a damaged blood vessel in the hand or finger.

Follow all current CPT coding guidelines. Selective vascular catheterizations should be coded to include introduction and all lesser order selective catheterizations used in the approach. Additional catheterizations within the same arterial family should be coded using 36218 or 36248.Additional first-order or higher catheterizations in different vascular families should be separately coded.

Modifiers may be applicable depending on the circumstances of the procedure. Consult the most current CPT coding guidelines and payer-specific instructions for specific modifier application rules.

Medical necessity is established when a patient presents with symptoms or findings consistent with impaired blood flow due to a damaged blood vessel in the hand or finger, requiring surgical repair to restore normal circulation and function.

The surgeon is responsible for all aspects of the procedure, including patient preparation, anesthesia administration (if applicable), incision, vessel repair, hemostasis, closure, and postoperative care.

IMPORTANT:For AV fistula repair, see codes 35180-35190.For unlisted vascular procedures, use code 37799.

In simple words: The doctor repairs a damaged blood vessel in your hand or finger by making a small cut, fixing the vessel with stitches, and closing the cut. This restores normal blood flow.

This procedure involves surgically repairing a damaged blood vessel in the hand or finger to restore proper blood flow.The surgery is performed directly on the affected vessel using sutures to mend it and ensure normal circulation is reestablished. The surgeon makes an incision to access the damaged blood vessel, repairs it using sutures or grafts as needed to restore proper blood flow, and closes the incision with stitches. A bandage is then applied.

Example 1: A patient presents with a deep laceration to the palm of their hand, resulting in a severed digital artery.The surgeon performs a direct repair of the artery using microsurgical techniques and sutures., A patient sustains a crush injury to their finger, causing damage to a small vein. The surgeon repairs the vein using fine sutures to restore blood flow., A patient undergoes a hand surgery that inadvertently results in iatrogenic injury to a superficial artery.The surgeon directly repairs the injured vessel using sutures.

Complete medical history, including the mechanism of injury and any associated symptoms (e.g., numbness, pallor, pain). Preoperative and postoperative photographs documenting the extent of the injury and the repair. Operative report detailing the surgical technique, materials used, and the surgeon's assessment of the repair.Any relevant imaging studies (e.g., Doppler ultrasound).

** The provided information is based on currently available data. Always consult the most up-to-date CPT codebook and payer-specific guidelines for accurate coding and reimbursement.The description implies that this code covers only direct repair, and other procedures like graft repair would necessitate separate coding.

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