2025 CPT code 35286
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Repair of a lower extremity blood vessel using a graft other than a vein.
Modifiers may apply based on the circumstances of the procedure (e.g., 51 for multiple procedures, 22 for increased procedural service, 59 for distinct procedural service). Consult the most recent CPT guidelines for details.
Medical necessity for 35286 is established by the presence of a significant lower extremity vascular lesion compromising blood flow, resulting in symptoms such as claudication, rest pain, or critical limb ischemia.The repair is necessary to restore blood flow and prevent limb loss or other serious complications.
The clinical responsibility lies with the surgeon who performs the vascular repair. This includes pre-operative planning, obtaining informed consent, performing the surgical repair, confirming adequate blood flow post-repair, and providing appropriate post-operative care.
In simple words: The doctor repairs a damaged blood vessel in your leg using a special, artificial patch instead of a vein from another part of your body.This involves making a cut to reach the damaged area, fixing the vessel with the patch, and closing the cut.
This CPT code encompasses the surgical repair of an abnormal or injured blood vessel in the lower extremity using a non-venous graft, typically a synthetic material.The procedure involves accessing the vessel via an incision, dissecting surrounding tissues, clamping the vessel proximally and distally to the defect, suturing the graft into place, confirming adequate blood flow (e.g., using a Doppler probe), and closing the incision.
Example 1: A patient presents with a severely damaged popliteal artery due to trauma.The surgeon performs a repair using a synthetic graft (35286)., A patient with peripheral artery disease undergoes a femoral artery bypass using a prosthetic graft to restore blood flow. Code 35286 is used for the lower extremity bypass., A patient with a traumatic injury resulting in a severely compromised superficial femoral artery requires urgent surgical intervention.A synthetic graft is used to repair the vessel (35286).
* Pre-operative assessment including detailed history and physical examination focusing on the lower extremity vascular system.* Imaging studies (e.g., angiography, ultrasound) demonstrating the location, extent, and severity of the vascular lesion.* Operative report detailing the surgical technique, type of graft used, and intraoperative findings.* Post-operative assessment, including documentation of blood flow assessment (e.g., Doppler), wound healing, and any complications.
** This code is for the repair of lower extremity vessels using a graft other than a vein.Always refer to the most current CPT codebook and coding guidelines for the most up-to-date information and any potential updates or changes.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: This information is not provided and would need to be referenced from a current fee schedule.
- Global Days: The global period for this procedure is not specified in the provided data and varies depending on payer and local standards.Further clarification is needed.
- Payment Status: Active
- Modifier TC rule: The application of a Technical Component (TC) modifier is not directly applicable to 35286, as it represents the entire surgical repair.
- Fee Schedule: Historical fee schedule information is not included but can be obtained through relevant payer resources.
- Specialties:Vascular Surgery, General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center