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The procedure described by CPT® Code 35112 involves the direct surgical repair of a ruptured splenic artery aneurysm or pseudoaneurysm, which may also include the excision of the affected area and the insertion of a graft, with or without the use of a patch graft. An aneurysm is characterized by an abnormal enlargement or dilation of an artery, which can occur due to various factors such as arteriosclerosis, mechanical obstruction, or malposition of the artery. Less frequently, aneurysms may arise from conditions like syphilis, tuberculosis, or abnormalities in the vessel wall, such as fibromuscular dysplasia. In contrast, a pseudoaneurysm is defined as a hematoma that forms in direct communication with the artery wall but does not involve all three layers of the arterial wall, distinguishing it from a true aneurysm. Pseudoaneurysms often result from trauma—either blunt or penetrating—or as a complication from medical procedures, such as catheterization. Specific causes of splenic artery pseudoaneurysms can include pancreatitis, septic emboli, or arteritis. The splenic artery itself originates from the celiac trunk, which branches off from the abdominal aorta just below the diaphragm. The surgical approach for this procedure typically involves harvesting a saphenous vein graft from the lower leg if needed, followed by a midline abdominal, transverse, or retroperitoneal flank incision to access the splenic artery. The procedure is critical in emergency situations where a ruptured aneurysm poses a significant risk of hemorrhage, necessitating immediate intervention to control bleeding and repair the artery.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 35112 is indicated for the surgical repair of a ruptured splenic artery aneurysm or pseudoaneurysm. The following conditions may warrant this procedure:
The surgical procedure for CPT® Code 35112 involves several critical steps to ensure the successful repair of the ruptured splenic artery aneurysm or pseudoaneurysm:
Post-procedure care following the surgical repair of a ruptured splenic artery aneurysm or pseudoaneurysm includes monitoring for any signs of complications, such as bleeding or infection. Patients may require hospitalization for observation and management of their recovery. The expected recovery period will vary based on the individual patient's condition and the extent of the surgery performed. Follow-up appointments will be necessary to assess the healing process and ensure that the repair is functioning as intended. Additionally, patients may need to adhere to specific activity restrictions during their recovery to promote healing and prevent complications.
| Short Descr | REPAIR ARTERY RUPTURE SPLEEN | Medium Descr | DIR RPR RUPTD ANEURYSM SPLENIC ARTERY | Long Descr | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery | 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 |
| 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. | LT | Left side (used to identify procedures performed on the left 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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