How To Use CPT Code 35131

CPT 35131 describes the direct repair of an aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion in the iliac artery. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 35131?

CPT 35131 is used to describe the direct repair of an aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion in the iliac artery. This procedure involves making an abdominal or retroperitoneal incision to access the aneurysm or pseudoaneurysm in the iliac artery. The provider then performs direct repair or places a graft at the site of repair.

2. Official Description

The official description of CPT code 35131 is: ‘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)’

3. Procedure

1. The provider makes an abdominal or retroperitoneal incision to access the aneurysm or pseudoaneurysm in the iliac artery.
2. The provider performs direct repair or places a graft at the site of repair.
3. If necessary, the provider may also place a patch graft to cover an open area on one side of the vessel or help widen the artery and improve blood flow.
4. The provider closes the incision with sutures in layers.

4. Qualifying circumstances

CPT 35131 is used for patients with aneurysm, pseudoaneurysm, or associated occlusive disease in the iliac artery. The procedure is performed by a qualified healthcare professional and may involve the use of a graft or patch graft. The patient must meet the specific criteria for the procedure as outlined in the official description of the code.

5. When to use CPT code 35131

CPT code 35131 should be used when a direct repair of an aneurysm, pseudoaneurysm, or excision and graft insertion is performed in the iliac artery. It is important to ensure that the procedure meets the specific criteria outlined in the official description of the code.

6. Documentation requirements

To support a claim for CPT code 35131, the healthcare professional must document the following information:

• Patient’s diagnosis of aneurysm, pseudoaneurysm, or associated occlusive disease in the iliac artery
• Details of the procedure performed, including the use of a graft or patch graft
• Date of the procedure
• Any additional relevant information or findings
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT code 35131, ensure that the procedure meets the specific criteria outlined in the official description of the code. It is important to follow the appropriate billing guidelines and include all necessary documentation to support the claim. Additionally, be aware of any specific guidelines or requirements from insurance providers or payers.

8. Historical information

CPT code 35131 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition. However, it is important to stay updated with any changes or revisions to the code in future updates.

9. Examples

1. A surgeon performs a direct repair of an aneurysm in the iliac artery for a patient with a diagnosed aneurysm.
2. A vascular specialist performs an excision and graft insertion in the iliac artery for a patient with a pseudoaneurysm.
3. A cardiovascular surgeon performs a partial excision and graft insertion in the iliac artery for a patient with associated occlusive disease.
4. An interventional radiologist performs a total excision and graft insertion in the iliac artery for a patient with a diagnosed aneurysm and associated occlusive disease.
5. A vascular surgeon performs a direct repair with a patch graft in the iliac artery for a patient with a pseudoaneurysm and associated occlusive disease.