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2025 CPT code 35246

Repair of an intrathoracic blood vessel with a vein graft without cardiopulmonary bypass.

Use this code for repair of an intrathoracic blood vessel with a vein graft without cardiopulmonary bypass.

Modifiers may be applicable to further specify the procedure performed.

Medical necessity must be established based on the condition of the patient, including imaging studies and clinical findings supporting the need for surgical intervention.

The surgeon makes a chest incision to access the damaged vessel. They dissect surrounding tissues, control bleeding, and may harvest a vein graft from another area of the body. The vessel is clamped, the graft is sutured in place, and blood flow is checked. The incision is then closed.

In simple words: This procedure involves repairing a damaged blood vessel inside the chest using a piece of vein taken from elsewhere in the body. The surgery is done without using a heart-lung machine.

Repair of an intrathoracic blood vessel using a vein graft performed without the assistance of cardiopulmonary bypass.

Example 1: Repair of a damaged thoracic aorta using a saphenous vein graft., Repair of a tear in the innominate artery following trauma, using a segment of the internal jugular vein., Reconstruction of a portion of the subclavian artery with an intercostal vein graft.

Operative report detailing the vessel repaired, type of graft used, and whether cardiopulmonary bypass was used. Documentation of medical necessity for the procedure.

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