How To Use CPT Code 35141

CPT 35141 describes the direct repair of an aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft, specifically for the common femoral artery. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 35141?

CPT 35141 is used to describe a surgical procedure that involves the direct repair of an aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft. This procedure specifically targets the common femoral artery, which is responsible for supplying blood to the groin and lower limb.

2. Official Description

The official description of CPT code 35141 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, common femoral artery (profunda femoris, superficial femoral).’ This code encompasses the repair of aneurysms, pseudoaneurysms, and associated occlusive diseases in the common femoral artery.

3. Procedure

1. In this procedure, the healthcare provider begins by making an incision in the thigh to access the aneurysm or pseudoaneurysm in the common femoral artery.
2. The provider then performs direct repair or places a graft at the site of repair.
3. To repair the defect, the provider may cut out the aneurysm or pseudoaneurysm and suture the remaining ends of the artery together.
4. In some cases, a patch graft may be used to cover an open area on one side of the vessel, helping to widen the artery and improve blood flow.
5. The incision is closed with sutures in layers to complete the procedure.

4. Qualifying circumstances

CPT 35141 is used for patients who require the repair of aneurysms, pseudoaneurysms, or excision and graft insertion in the common femoral artery. These conditions may be associated with occlusive diseases. The procedure is performed by a healthcare provider who has the necessary expertise and qualifications to perform the surgery.

5. When to use CPT code 35141

CPT code 35141 should be used when a direct repair of an aneurysm, pseudoaneurysm, or excision and graft insertion is performed specifically in the common femoral artery. This code is appropriate for cases where the procedure is necessary to address the patient’s condition. It is important to ensure that the documentation supports the use of this specific CPT code.

6. Documentation requirements

To support a claim for CPT code 35141, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the procedure
• Details of the procedure performed, including the specific repair or graft insertion
• Any additional procedures or techniques used during the surgery
• Any complications or unexpected findings during the procedure
• Post-operative care instructions and follow-up plans
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 35141, it is important to ensure that the procedure performed aligns with the specific requirements outlined in the code description. The healthcare provider should use the appropriate modifiers if necessary and follow any additional guidelines provided by the payer. It is also important to review any bundling or unbundling rules that may apply to this procedure.

8. Historical information

CPT code 35141 was added to the Current Procedural Terminology system on January 1, 1990. Since its addition, there have been no updates or changes to the code.

9. Examples

1. A patient undergoes direct repair of an aneurysm in the common femoral artery, with graft insertion to restore blood flow.
2. A healthcare provider performs excision and graft insertion for a pseudoaneurysm in the common femoral artery.
3. A patient with an occlusive disease in the common femoral artery undergoes partial excision and graft insertion to improve blood flow.
4. A healthcare provider repairs a ruptured aneurysm in the common femoral artery, performing direct repair and graft insertion.
5. A patient undergoes total excision and graft insertion for an aneurysm in the common femoral artery.
6. A healthcare provider performs direct repair and patch graft insertion for a pseudoaneurysm in the common femoral artery.
7. A patient with associated occlusive disease in the common femoral artery undergoes direct repair and graft insertion to improve blood flow.
8. A healthcare provider performs partial excision and patch graft insertion for an aneurysm in the common femoral artery.
9. A patient undergoes direct repair and graft insertion for a pseudoaneurysm in the common femoral artery, with excellent outcomes.
10. A healthcare provider performs total excision and graft insertion for an aneurysm in the common femoral artery, successfully restoring blood flow.