2025 CPT code 35682
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Bypass graft; autogenous composite, two segments of veins from two locations. This code is reported in addition to the primary procedure.
Modifiers may be applicable to indicate specific circumstances of the procedure (e.g., anatomical side, unusual complexity). Check current CPT guidelines for details on using modifiers 52,59 etc with this code.
Medical necessity is established by the underlying condition requiring bypass surgery, such as peripheral artery disease or coronary artery disease. The need for a composite graft should be justified due to inadequate or unsuitable autogenous vein at the typical harvest site.
The surgeon harvests two vein segments from separate locations, often a limb other than the one undergoing the bypass.The harvested veins are then joined together using fine sutures to create a composite graft, which is then used for the bypass procedure.
In simple words: The surgeon creates a longer vein for bypass surgery by joining two shorter vein segments harvested from different parts of your body, usually not from the limb needing the bypass.
Harvest and anastomosis of two vein segments from distant sites for use as arterial bypass graft conduits. This procedure involves harvesting vein segments from locations other than the limb undergoing bypass to create a composite graft.
Example 1: A patient requires a femoral-popliteal bypass, but the greater saphenous vein is unsuitable due to prior harvesting. The surgeon harvests two segments of vein from the arm to create a composite graft for the bypass., A patient with severe peripheral artery disease requires a bypass, but their saphenous veins are sclerotic.Two segments of vein are harvested from the patient's other leg to create a composite graft., During a coronary artery bypass graft (CABG) procedure, a patient's internal mammary artery and saphenous vein are not sufficient. The surgeon uses code 35682 to report harvesting two additional vein segments from the arm to create a composite graft to facilitate the CABG
Documentation should include the sites of vein harvest, the method of creating the composite graft, and the primary bypass procedure performed. Operative notes should detail the length and condition of each harvested vein segment and the technique used for anastomosis.
- Revenue Code: P6C: MINOR PROCEDURES - OTHER
- Payment Status: Active
- Specialties:Cardiovascular surgery, vascular surgery, thoracic surgery, general surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center