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A saphenopopliteal vein anastomosis is a surgical procedure that involves the connection of the saphenous vein to the popliteal vein, typically performed to restore venous flow in cases of obstruction. The procedure begins with the creation of an incision in the skin over the saphenous vein, which is a large vein located in the leg. Surgeons carefully dissect the saphenous vein from the surrounding tissues, ensuring that it remains intact while ligating its tributaries, which are smaller veins that drain into it. This dissection is crucial as it allows for a sufficient length of the saphenous vein to be mobilized for the anastomosis. Once the distal end of the saphenous vein is divided, it is then tunneled to reach the popliteal vein, which is located behind the knee. The obstructed segment of the popliteal vein is clamped and incised below the obstruction to facilitate the connection. Finally, an end-to-side anastomosis is performed, where the saphenous vein is attached to the popliteal vein, allowing blood to bypass the obstruction and restore normal venous circulation in the leg.
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The saphenopopliteal vein anastomosis is indicated for patients experiencing venous obstruction in the popliteal vein, which may lead to complications such as venous insufficiency or chronic venous hypertension. This procedure is typically performed in cases where there is a need to restore adequate venous drainage from the lower extremities, particularly when conservative treatments have failed or when the obstruction is significant enough to warrant surgical intervention.
The saphenopopliteal vein anastomosis involves several critical procedural steps that ensure the successful connection of the saphenous vein to the popliteal vein.
After the saphenopopliteal vein anastomosis, patients typically require monitoring for any signs of complications, such as bleeding or infection at the surgical site. Post-operative care may include pain management and instructions for activity restrictions to promote healing. Patients are often advised to elevate the affected leg and may be prescribed anticoagulants to prevent thrombosis in the newly created anastomosis. Follow-up appointments are essential to assess the success of the procedure and ensure that normal venous flow has been restored.
| Short Descr | LEG VEIN FUSION | Medium Descr | SAPHENOPOPLITEAL VEIN ANASTOMOSIS | Long Descr | Saphenopopliteal vein anastomosis | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery |
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| Pre-1990 | Added | Code added. |
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