CPT® Code 35092

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)

The CPT® Code 35092 refers to the surgical procedure for the direct repair of a ruptured abdominal aortic aneurysm or pseudoaneurysm, particularly when there is involvement of visceral vessels such as the mesenteric, celiac, and renal arteries. An abdominal aortic aneurysm is characterized by an abnormal enlargement or dilation of the abdominal aorta, which can lead to serious complications if not addressed promptly. The procedure involves either direct repair or excision of the aneurysm, along with the insertion of a graft, which may or may not include a patch graft. A pseudoaneurysm, in contrast to a true aneurysm, does not involve all three layers of the arterial wall and is often the result of trauma or complications from medical procedures. The abdominal aorta is a critical vessel that supplies blood to the lower body, and its rupture can lead to life-threatening hemorrhage. Therefore, this procedure is performed as an emergency intervention to control bleeding and restore vascular integrity. The surgical approach typically requires careful dissection and mobilization of surrounding structures to access the aorta and visceral vessels, ensuring that any associated occlusive disease is also addressed during the repair process.