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The CPT® Code 35002 refers to the surgical procedure involving the direct repair of a ruptured aneurysm or pseudoaneurysm of the carotid or subclavian artery. This procedure may also include the excision of the aneurysm, either partially or totally, along with the insertion of a graft, which may or may not involve a patch graft. Aneurysms are characterized by an abnormal enlargement or dilation of an artery, which can arise from various causes, including arteriosclerosis, mechanical obstructions, or abnormalities in the vessel wall. Pseudoaneurysms, on the other hand, are not true aneurysms as they do not involve all three layers of the arterial wall and are often the result of trauma or procedural complications. The surgical approach typically involves a neck incision to access the affected artery, allowing for the necessary repairs or grafting to restore normal blood flow. This procedure is classified as an emergency intervention due to the nature of a ruptured aneurysm, which requires immediate attention to control bleeding and prevent further complications.
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The procedure described by CPT® Code 35002 is indicated for the following conditions:
The procedure for CPT® Code 35002 involves several critical steps to ensure effective repair of the aneurysm or pseudoaneurysm:
After the procedure, the patient is monitored closely for any signs of complications, such as bleeding or infection. Recovery may involve a stay in the hospital for observation, and the patient may require follow-up imaging studies to ensure the success of the repair. Pain management and rehabilitation may also be part of the post-procedure care plan, depending on the individual patient's needs and the extent of the surgery performed.
| Short Descr | REPAIR ARTERY RUPTURE NECK | Medium Descr | DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY | Long Descr | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision | 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 | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 59 - Other OR procedures on vessels of head and neck |
This is a primary code that can be used with these additional add-on codes.
| 35572 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure) |
| 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). | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Changed | Short description changed. |
| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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