2025 CPT code 35261
Repair blood vessel with a non-venous graft in the neck.
Modifiers may be applicable. Refer to the current year's CPT guidelines to check for correct modifier usage.
Medical necessity for this procedure must be established by documenting the underlying condition causing the vessel damage and the clinical rationale for surgical repair using a graft.
The surgeon is responsible for all aspects of the procedure, including prepping the patient, administering anesthesia, making the incision, dissecting the necessary tissues, controlling bleeding, attaching the graft, checking blood flow, and closing the incision.
In simple words: The surgeon repairs an abnormal or injured blood vessel in the neck using a non-venous, usually synthetic, graft. This involves making an incision, carefully exposing the blood vessel, and then attaching the graft to repair the damaged section. The surgeon then ensures proper blood flow is restored.
Repair of a blood vessel in the neck using a graft other than a vein. This typically involves using a synthetic graft to replace or repair the damaged vessel.The procedure includes accessing the vessel, controlling bleeding, clamping the vessel, suturing the graft, and verifying blood flow.
Example 1: A patient presents with a damaged carotid artery following trauma to the neck.The surgeon performs a repair using a synthetic graft (35261)., A patient with a blockage in a neck artery undergoes surgical repair using a Dacron graft (35261)., A child with a congenital defect in a neck vessel requires surgical repair. The surgeon uses a Gore-Tex graft to reconstruct the vessel (35261).
Documentation should include details about the damaged vessel, the type of graft used, the surgical approach, intraoperative findings, and confirmation of restored blood flow.Any complications encountered should also be documented.
- Revenue Code: P2F
- Specialties:Vascular Surgery, Cardiothoracic Surgery, Pediatric Surgery (depending on the specific vessel and patient)
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center