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The CPT® Code 35122 refers to the surgical procedure involving the direct repair of an aneurysm or pseudoaneurysm, specifically targeting the hepatic, celiac, renal, or mesenteric arteries. An aneurysm is characterized by an abnormal enlargement or dilation of an artery, which can arise from various causes such as arteriosclerosis, mechanical obstruction, or malposition of the artery. Less frequently, conditions like syphilis, tuberculosis, or fibromuscular dysplasia may also contribute to the formation of an aneurysm. In contrast, a pseudoaneurysm is a hematoma that forms in direct communication with the artery wall but does not involve all three layers of the arterial wall, typically resulting from trauma or procedural complications. The surgical intervention described in this code involves either direct repair or excision of the aneurysm, with the potential for graft insertion, which may include the use of a patch graft. This procedure is critical in emergency situations, particularly when dealing with a ruptured aneurysm, where immediate action is necessary to control bleeding and restore vascular integrity.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 35122 is indicated for the surgical repair of a ruptured aneurysm or pseudoaneurysm affecting the hepatic, celiac, renal, or mesenteric arteries. The following conditions may warrant this intervention:
The surgical procedure for CPT® Code 35122 involves several critical steps to ensure effective repair of the aneurysm or pseudoaneurysm. The following procedural steps are outlined:
Post-procedure care following the surgical repair of a ruptured aneurysm involves monitoring for complications such as bleeding, infection, or graft failure. Patients may require intensive care initially, with close observation of vital signs and hemodynamic stability. Pain management and gradual mobilization are essential components of recovery. Follow-up imaging may be necessary to assess the integrity of the repair and ensure proper healing of the vascular structures involved. Additionally, patients may need to adhere to specific lifestyle modifications and medication regimens to prevent recurrence or further vascular complications.
| Short Descr | REPAIR ARTERY RUPTURE BELLY | Medium Descr | DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN | Long Descr | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric 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 |
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) |
| 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.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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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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