CPT code 35583 refers to a surgical procedure that involves rerouting blood flow around a blocked blood vessel in the leg using an existing vein. CPT 35583 represents “In-situ vein bypass; femoral-popliteal.”
Procedure Explanation:
This procedure, called an in-situ vein bypass, is used to treat blockages in the leg’s artery, often between the thigh and knee. It involves using the patient’s vein to create a new pathway for blood to flow around the blockage. This surgery includes preparing the vein and connecting it to the artery, but it doesn’t cover any further interventions if complications arise.
Common Names:
- Femoral-Popliteal Bypass
- Leg Vein Bypass Surgery
- In-Situ Bypass of Femoral-Popliteal Artery
Relative Value Units (RVU):
The RVUs associated with this code are 27.75.
How This Procedure Appears:
- Operating Room Schedule Name: In-situ femoral-popliteal bypass
- Surgical Consent Form Name: In-situ vein bypass surgery for leg artery
Typical Patients and Diagnoses:
This procedure is often used for patients with peripheral artery disease (PAD), where the blood vessels outside the heart become narrowed. For example, individuals experiencing severe leg pain while walking or those with wounds on their legs that do not heal well might benefit from this surgery.
Associated ICD-10 Codes:
- I70.213: Atherosclerosis, a condition where arteries in the leg are clogged, specifically affecting the right leg.
- I70.216: Atherosclerosis affecting the native arteries of the left leg, indicating blocked blood flow in the legs.
- I74.3: Embolism and thrombosis of arteries of the lower extremities, referring to blood clot issues in the leg arteries.
Summary
In summary, code 35583 describes the surgical rerouting of blood flow using a leg vein to bypass artery blockages. Typical ICD-10 codes associated with 35583 include I70.213 (atherosclerosis of the right leg) and I70.216 (atherosclerosis of the left leg).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.