How To Use CPT Code 35536

CPT 35536 describes a procedure known as bypass graft, with vein; splenorenal. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 35536?

CPT 35536 is used to describe a specific surgical procedure that involves bypassing a blockage in a blood vessel by inserting a bypass graft. In this case, the bypass graft connects the splenic artery to a portion of the renal artery using a vein graft. The procedure is performed by a healthcare provider and requires making an incision in the abdomen to access the arteries and create the necessary connections.

2. Official Description

The official description of CPT code 35536 is: ‘Bypass graft, with vein; splenorenal.’

3. Procedure

1. The healthcare provider prepares the patient and administers anesthesia.
2. An incision is made in the abdomen to access the splenic artery.
3. The provider dissects the soft tissue to access the renal artery.
4. A tunnel is created between the target anastomosis sites.
5. A vein graft may be harvested from another part of the patient’s body.
6. Clamps are applied to the splenic artery, and an opening is created to attach one end of the graft.
7. Clamps are also applied to the renal artery, and the other end of the graft is attached.
8. The clamps are removed to restore normal blood flow.
9. The incision is closed in layers after ensuring hemostasis.

4. Qualifying circumstances

CPT 35536 is performed on patients who have a blockage in a blood vessel that requires bypassing. The procedure specifically involves connecting the splenic artery to a portion of the renal artery using a vein graft. It is important to note that this procedure is typically performed by a healthcare provider and requires the use of anesthesia.

5. When to use CPT code 35536

CPT code 35536 should be used when a healthcare provider performs a bypass graft procedure, connecting the splenic artery to a portion of the renal artery using a vein graft. This code is specific to the splenorenal bypass procedure and should not be used for other types of bypass grafts.

6. Documentation requirements

To support a claim for CPT 35536, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the bypass graft procedure
• Details of the procedure, including the specific arteries involved and the use of a vein graft
• Date of the procedure
• Any additional relevant information, such as the use of anesthesia or any complications encountered
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 35536, ensure that the procedure meets the specific criteria outlined in the code description. It is important to use the appropriate modifiers, such as modifier 50 for a bilateral procedure or RT/LT depending on payer preference. Additionally, be aware of any specific billing guidelines or requirements set by insurance providers or regulatory bodies.

8. Historical information

CPT 35536 was added to the Current Procedural Terminology system on January 1, 1990. The code has undergone no updates since its addition. However, it is important to stay updated with any changes or revisions to the code in order to accurately report and bill for the procedure.

9. Examples

1. A healthcare provider performing a splenorenal bypass graft procedure using a vein graft to bypass a blockage in the splenic and renal arteries.
2. A patient with a diagnosed blockage in the splenic artery undergoing a splenorenal bypass graft procedure to restore normal blood flow.
3. A surgeon performing a splenorenal bypass graft procedure on a patient with a history of renal artery stenosis.
4. A healthcare team performing a splenorenal bypass graft procedure as part of a larger surgical intervention for a patient with multiple arterial blockages.
5. A patient with a known splenic artery aneurysm undergoing a splenorenal bypass graft procedure to prevent rupture and restore proper blood flow.
6. A healthcare provider performing a splenorenal bypass graft procedure using a vein graft harvested from the patient’s leg.
7. A patient with a diagnosed blockage in the renal artery undergoing a splenorenal bypass graft procedure to improve kidney function.
8. A surgeon performing a splenorenal bypass graft procedure on a patient with a history of chronic kidney disease.
9. A healthcare team performing a splenorenal bypass graft procedure as part of a larger surgical intervention for a patient with advanced atherosclerosis.
10. A patient with a known splenic artery dissection undergoing a splenorenal bypass graft procedure to restore blood flow and prevent further complications.