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2025 CPT code 35251

Repair of a blood vessel with a vein graft in the intra-abdominal region.

Refer to CPT coding guidelines for proper code selection and reporting.

Modifiers may be applicable depending on specific circumstances, such as increased procedural services (22), bilateral procedures (50), or multiple procedures (51). Refer to current modifier guidelines.

Medical necessity must be established by documenting the underlying condition necessitating the repair, such as aneurysm, trauma, or vascular disease.

The physician is responsible for the entire surgical process, including preoperative assessment, intraoperative repair, and postoperative care.

IMPORTANT:Consider 35281 for repair with graft other than vein; intra-abdominal. See +35572 for harvest of a femoropopliteal vein segment.

In simple words: This procedure fixes a damaged blood vessel in your abdomen using a healthy vein from another part of your body. The surgeon makes a cut to reach the damaged vessel, carefully moves aside any organs or tissues in the way, stops any bleeding, and then attaches the healthy vein section to repair the damaged area.They'll check that blood is flowing properly through the repaired vessel before closing the incision.

This code describes the surgical repair of an intra-abdominal blood vessel using a vein graft.The procedure includes necessary dissection, mobilization of surrounding tissues and organs, bleeding control, and graft harvesting (if required).Confirmation of blood flow in the repaired vessel, typically using Doppler ultrasound, is also included.The code encompasses the entire process of repairing the damaged vessel, from initial incision to final closure.

Example 1: Repair of a damaged inferior mesenteric artery using a segment of the saphenous vein following traumatic injury., Repair of a splenic artery aneurysm using a vein graft., Reconstruction of the hepatic artery using a vein graft during liver transplantation.

Documentation should include operative report detailing the damaged vessel, type of vein graft used, method of repair, confirmation of restored blood flow, and any complications encountered.

** This information is current as of December 1, 2024.Coding and reimbursement guidelines may change, and it is important to stay updated with current regulations.

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