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The CPT® Code 35013 refers to the surgical procedure for the direct repair of an aneurysm or pseudoaneurysm, specifically targeting the axillary-brachial artery through an incision in the arm. An aneurysm is characterized by an abnormal enlargement or dilation of an artery, which can arise from various causes, including arteriosclerosis, mechanical obstructions like thoracic outlet syndrome, or abnormalities in the vessel wall such as fibromuscular dysplasia. Pseudoaneurysms, on the other hand, differ from true aneurysms as they do not involve all three layers of the arterial wall and are often the result of trauma or complications from medical procedures, leading to a pulsating hematoma that communicates with the artery wall. The procedure involves either direct repair or excision of the aneurysm, with the potential insertion of a graft, which may be autogenous (using the patient's own saphenous vein) or synthetic. The surgical approach requires careful exposure of the axillary-brachial artery, clamping to control blood flow, and meticulous repair of the artery walls, ensuring that any thrombus or plaque is removed. The procedure is performed in an emergency setting, particularly for ruptured aneurysms, necessitating immediate isolation and control of bleeding before the repair can be completed.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 35013 is indicated for the surgical repair of a ruptured aneurysm or pseudoaneurysm of the axillary-brachial artery. The following conditions may warrant this intervention:
The surgical procedure for CPT® Code 35013 involves several critical steps to ensure effective repair of the aneurysm or pseudoaneurysm:
Post-procedure care following the repair of a ruptured aneurysm involves monitoring the patient for any signs of complications, such as bleeding or infection. The surgical site will be assessed for proper healing, and the patient may require pain management and supportive care during recovery. Follow-up imaging may be necessary to ensure the success of the repair and to monitor for any potential recurrence of the aneurysm. The patient will also be advised on activity restrictions and signs to watch for that may indicate complications.
| Short Descr | REPAIR ARTERY RUPTURE ARM | Medium Descr | DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS | Long Descr | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm 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 | 61 - Other OR procedures on vessels other than 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) |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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. | 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.) | 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.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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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