CPT® Code 35102

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, abdominal aorta involving iliac vessels (common, hypogastric, external)

The CPT® Code 35102 refers to the surgical procedure for the direct repair of an abdominal aortic aneurysm or pseudoaneurysm, particularly when there is involvement of the iliac vessels, which include the common, hypogastric, and external iliac 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. Pseudoaneurysms, on the other hand, are not true aneurysms as they do not involve all three layers of the arterial wall; they typically arise from trauma or complications from medical procedures, resulting in a hematoma that communicates with the artery. The procedure involves either direct repair or excision of the aneurysm, followed by the insertion of a graft, which may or may not include a patch graft. This surgical intervention is crucial for patients with associated occlusive disease affecting the abdominal aorta and iliac vessels, as it aims to restore normal blood flow and prevent life-threatening complications. The surgery is performed through a midline abdominal incision, allowing access to the aorta, and involves meticulous steps to ensure the safe and effective repair of the affected vessels.