2025 CPT code 35281
(Active) Effective Date: N/A Surgical Procedures on the Cardiovascular System - Cardiovascular System Surgery Feed
Repair blood vessel with graft other than vein; intra-abdominal
Modifiers may be applicable to this code, refer to current year CPT guidelines for applicable modifiers and scenarios.
Medical necessity for this procedure must be documented and justified based on the patient's condition. This could include imaging studies showing the damaged vessel, symptoms related to the damaged vessel, and/or other clinical findings supporting the need for surgical repair.
The surgeon is responsible for the entire procedure, from prepping and anesthetizing the patient to confirming blood flow in the repaired vessel and closing the incision.
In simple words: The doctor fixes a damaged blood vessel in the abdomen using a special patch, not a vein.They make an opening to reach the damaged area, carefully move things out of the way, and stop any bleeding. Then, they sew a patch onto the blood vessel to fix it. They check that the blood is flowing properly in the fixed vessel and then close up the opening.
The physician repairs an abnormal or injured intra-abdominal blood vessel using a non-venous graft.After preparing and anesthetizing the patient, a laparotomy incision is made to access the damaged vessel.The surgeon dissects and moves tissues, organs, and vessels as needed to reach the target area, manually controlling any bleeding. The vessel is clamped above and below the defect, and a non-venous (typically synthetic) graft is sutured in place to repair the vessel. Blood flow through the repaired vessel is confirmed (e.g., using Doppler ultrasound). Finally, the laparotomy incision is closed with sutures.
Example 1: A patient presents with an aneurysm in the abdominal aorta. The surgeon performs a laparotomy, clamps the affected portion of the aorta, and sutures a synthetic graft to repair the aneurysm., A patient sustains a penetrating injury to the abdomen, resulting in a laceration to the inferior vena cava.The surgeon performs an emergency laparotomy, controls the bleeding, and repairs the vena cava using a synthetic graft., A patient with a history of atherosclerosis develops a blockage in the mesenteric artery. The surgeon performs a laparotomy, identifies the blockage, and bypasses the blockage using a synthetic graft.
Documentation should include details of the damaged vessel, type of graft used, method of blood flow confirmation, operative findings, and any complications encountered.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- Payment Status: Active
- Specialties:Vascular Surgery, General Surgery, Cardiothoracic Surgery (in certain cases)
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center