© Copyright 2025 American Medical Association. All rights reserved.
The harvest of the femoropopliteal vein, specifically coded as CPT® Code 35572, refers to a surgical procedure in which a segment of the superficial femoral-popliteal vein (SFPV) is extracted for use in vascular reconstruction. This procedure is particularly significant in cases involving aortic grafts, infected vascular grafts, limb salvage operations, and extensive venous reconstructions. The SFPV is chosen due to its suitability and availability for these types of reconstructive surgeries. During the procedure, a surgical incision is made along the lateral border of the sartorius muscle, which is a long, thin muscle located in the thigh. The surgeon then reflects the sartorius muscle medially to gain access to the SFPV, which is subsequently exposed and mobilized for harvesting. The vein is carefully ligated and divided at the junction where it meets the deep and common femoral veins. The specific site of distal transection is determined by the length of vein required for the intended reconstruction. Once harvested, the SFPV is prepared for its role in the reconstruction, which may involve performing a valvotomy. This step is crucial as it allows for the placement of the vein graft in a non-reversed position, ensuring optimal functionality in the vascular reconstruction procedure.
© Copyright 2025 Coding Ahead. All rights reserved.
The harvest of the femoropopliteal vein is indicated for various vascular reconstruction procedures. The following conditions and situations warrant this surgical intervention:
The procedure for harvesting the femoropopliteal vein involves several critical steps that ensure the successful extraction and preparation of the vein segment for vascular reconstruction:
Post-procedure care following the harvest of the femoropopliteal vein involves monitoring the surgical site for any signs of complications, such as infection or excessive bleeding. Patients may require pain management and should be advised on activity restrictions to promote healing. Follow-up appointments are essential to assess the success of the vein graft in the reconstruction procedure and to ensure proper recovery. Additionally, any specific instructions regarding wound care and signs of complications should be provided to the patient to facilitate a smooth recovery process.
| Short Descr | HARVEST FEMOROPOPLITEAL VEIN | Medium Descr | HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX | Long Descr | 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) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | 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) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 2 | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 33510 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; single coronary venous graft | 33511 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 2 coronary venous grafts | 33512 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 3 coronary venous grafts | 33513 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 4 coronary venous grafts | 33514 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Coronary artery bypass, vein only; 5 coronary venous grafts | 33516 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, vein only; 6 or more coronary venous grafts | 33517 | Addon Code MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) | 33518 | Addon Code MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) | 33519 | Addon Code MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) | 33521 | Addon Code MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) | 33522 | Addon Code MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) | 33523 | Addon Code MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) | 33533 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Coronary artery bypass, using arterial graft(s); single arterial graft | 33534 | MPFS Status: Active Code APC C Physician Quality Reporting Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts | 33535 | MPFS Status: Active Code APC C Physician Quality Reporting Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts | 33536 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts | 34502 | MPFS Status: Active Code APC C Reconstruction of vena cava, any method | 34520 | MPFS Status: Active Code APC J1 Cross-over vein graft to venous system | 35001 | MPFS Status: Active Code APC C CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, carotid, subclavian artery, by neck incision | 35002 | MPFS Status: Active Code APC C CPT Assistant Article 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 | 35011 | MPFS Status: Active Code APC J1 CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision | 35013 | MPFS Status: Active Code APC C CPT Assistant Article 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 | 35021 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, subclavian artery, by thoracic incision | 35022 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision | 35102 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external) | 35103 | MPFS Status: Active Code APC C CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external) | 35121 | MPFS Status: Active Code APC C CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, celiac, renal, or mesenteric artery | 35122 | MPFS Status: Active Code APC C CPT Assistant Article 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 | 35131 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery (common, hypogastric, external) | 35132 | MPFS Status: Active Code APC C CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) | 35141 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femoral artery (profunda femoris, superficial femoral) | 35142 | MPFS Status: Active Code APC C CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral) | 35151 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal artery | 35152 | MPFS Status: Active Code APC C CPT Assistant Article Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery | 35231 | MPFS Status: Active Code APC J1 Repair blood vessel with vein graft; neck | 35236 | MPFS Status: Active Code APC J1 CPT Assistant Article Repair blood vessel with vein graft; upper extremity | 35241 | MPFS Status: Active Code APC C Physician Quality Reporting Repair blood vessel with vein graft; intrathoracic, with bypass | 35246 | MPFS Status: Active Code APC C Physician Quality Reporting Repair blood vessel with vein graft; intrathoracic, without bypass | 35251 | MPFS Status: Active Code APC C Repair blood vessel with vein graft; intra-abdominal | 35256 | MPFS Status: Active Code APC J1 CPT Assistant Article Repair blood vessel with vein graft; lower extremity | 35501 | MPFS Status: Active Code APC C CPT Assistant Article Bypass graft, with vein; common carotid-ipsilateral internal carotid | 35506 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Bypass graft, with vein; carotid-subclavian or subclavian-carotid | 35508 | MPFS Status: Active Code APC C PUB 100 Bypass graft, with vein; carotid-vertebral | 35509 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; carotid-contralateral carotid | 35510 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; carotid-brachial | 35511 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Illustration for Code Bypass graft, with vein; subclavian-subclavian | 35512 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Illustration for Code Bypass graft, with vein; subclavian-brachial | 35515 | MPFS Status: Active Code APC C PUB 100 Illustration for Code Bypass graft, with vein; subclavian-vertebral | 35516 | MPFS Status: Active Code APC C PUB 100 Illustration for Code Bypass graft, with vein; subclavian-axillary | 35518 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; axillary-axillary | 35521 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; axillary-femoral | 35522 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; axillary-brachial | 35523 | MPFS Status: Active Code APC C PUB 100 Illustration for Code Bypass graft, with vein; brachial-ulnar or -radial | 35525 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; brachial-brachial | 35526 | MPFS Status: Active Code APC C Physician Quality Reporting PUB 100 CPT Assistant Article Illustration for Code Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid | 35531 | MPFS Status: Active Code APC C Illustration for Code Bypass graft, with vein; aortoceliac or aortomesenteric | 35533 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; axillary-femoral-femoral | 35535 | MPFS Status: Active Code APC C Illustration for Code Bypass graft, with vein; hepatorenal | 35536 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; splenorenal | 35537 | MPFS Status: Active Code APC C CPT Assistant Article Bypass graft, with vein; aortoiliac | 35538 | MPFS Status: Active Code APC C CPT Assistant Article Bypass graft, with vein; aortobi-iliac | 35539 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; aortofemoral | 35540 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; aortobifemoral | 35556 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; femoral-popliteal | 35558 | MPFS Status: Active Code APC C Illustration for Code Bypass graft, with vein; femoral-femoral | 35560 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; aortorenal | 35563 | MPFS Status: Active Code APC C Bypass graft, with vein; ilioiliac | 35565 | MPFS Status: Active Code APC C CPT Assistant Article Bypass graft, with vein; iliofemoral | 35566 | MPFS Status: Active Code APC C CPT Assistant Article Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels | 35570 | MPFS Status: Active Code APC C Illustration for Code Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial | 35571 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels | 35583 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code In-situ vein bypass; femoral-popliteal | 35585 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery | 35587 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code In-situ vein bypass; popliteal-tibial, peroneal | 35879 | MPFS Status: Active Code APC J1 CPT Assistant Article Illustration for Code Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty | 35881 | MPFS Status: Active Code APC J1 CPT Assistant Article Illustration for Code Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition | 35883 | MPFS Status: Active Code APC J1 CPT Assistant Article Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) | 35884 | MPFS Status: Active Code APC J1 CPT Assistant Article Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft | 35901 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Excision of infected graft; neck | 35903 | MPFS Status: Active Code APC J1 Illustration for Code Excision of infected graft; extremity | 35905 | MPFS Status: Active Code APC C Illustration for Code Excision of infected graft; thorax | 35907 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Excision of infected graft; abdomen |
| 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 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). | 81 | Minimum assistant surgeon: minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number. | 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). | 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) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2010-01-01 | Changed | Code description changed. |
| 2003-01-01 | Added | First appearance in code book in 2003. |
Get instant expert-level medical coding assistance.