How To Use CPT Code 35884

CPT 35884 describes the revision of the femoral anastomosis of a synthetic arterial bypass graft in the groin, using an autogenous vein patch graft. 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 35884?

CPT 35884 can be used to describe the surgical procedure in which a healthcare provider revises the connection between a synthetic arterial bypass graft and the femoral artery in the groin. This revision involves the application of an autogenous vein patch graft to improve the connection and ensure proper blood flow.

2. Official Description

The official description of CPT code 35884 is: ‘Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft.’

3. Procedure

1. The healthcare provider makes an incision in the groin area to access the synthetic arterial bypass graft connected to the femoral artery.
2. An autogenous vein is selected and prepared to create a patch graft.
3. The provider applies clamps to the graft and femoral vessels as needed.
4. The provider incises the graft, extending the incision into the native artery.
5. The prepared vein patch graft is sutured onto the incision in the artery and bypass graft.
6. The provider removes the clamps, ensures proper blood flow, and closes the surgical wound.

4. Qualifying circumstances

CPT 35884 is performed when there is a need to revise the femoral anastomosis of a synthetic arterial bypass graft in the groin. This procedure is typically done using an autogenous vein patch graft. It is important to note that CPT 35884 should not be reported in conjunction with codes 35700, 35875, 35876, or 35883.

5. When to use CPT code 35884

CPT code 35884 should be used when a healthcare provider performs a revision of the femoral anastomosis of a synthetic arterial bypass graft in the groin using an autogenous vein patch graft. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 35884, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the revision procedure
• Details of the surgical procedure, including the use of an autogenous vein patch graft
• Date of the procedure
• Any additional relevant information or findings during the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 35884, ensure that the procedure meets the specific criteria outlined in the code description. It is important to note that CPT 35884 should not be reported in conjunction with codes 35700, 35875, 35876, or 35883. Review the documentation requirements and ensure all necessary information is included in the claim.

8. Historical information

CPT 35884 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates to the code since its addition.

9. Examples

1. A surgeon performs a revision of the femoral anastomosis of a synthetic arterial bypass graft in the groin using an autogenous vein patch graft.
2. A vascular specialist revises the connection between a synthetic arterial bypass graft and the femoral artery in the groin using an autogenous vein patch graft.
3. A cardiovascular surgeon performs a procedure to improve the femoral anastomosis of a synthetic arterial bypass graft in the groin using an autogenous vein patch graft.
4. An interventional radiologist performs a revision of the femoral anastomosis of a synthetic arterial bypass graft in the groin using an autogenous vein patch graft.
5. A vascular surgeon performs a procedure to enhance the connection between a synthetic arterial bypass graft and the femoral artery in the groin using an autogenous vein patch graft.
6. A cardiovascular specialist revises the femoral anastomosis of a synthetic arterial bypass graft in the groin using an autogenous vein patch graft.
7. An interventional cardiologist performs a procedure to improve the connection between a synthetic arterial bypass graft and the femoral artery in the groin using an autogenous vein patch graft.
8. A vascular surgeon performs a revision of the femoral anastomosis of a synthetic arterial bypass graft in the groin using an autogenous vein patch graft.
9. An interventional radiologist enhances the connection between a synthetic arterial bypass graft and the femoral artery in the groin using an autogenous vein patch graft.
10. A cardiovascular specialist performs a procedure to improve the femoral anastomosis of a synthetic arterial bypass graft in the groin using an autogenous vein patch graft.