CPT® Code 35207

A direct repair of a blood vessel in the upper extremity, specifically in the hand or finger, involves a surgical procedure aimed at restoring the integrity of the damaged blood vessel. This procedure is necessary when a blood vessel has been compromised due to injury, which can lead to significant bleeding and impaired blood flow. The approach taken during the repair is contingent upon the specific blood vessel that has sustained damage. Initially, the surgeon exposes the injured vessel and applies clamps both proximal and distal to the site of injury. This clamping is crucial as it helps control bleeding during the repair process. In some cases, to maintain blood flow to the area while the repair is being conducted, a temporary shunt may be placed. Once the vessel is adequately exposed, the extent of the injury is carefully assessed. The next step involves debriding the edges of the injured vessel to remove any damaged tissue, followed by reapproximating the vessel edges in an end-to-end manner using sutures. After the suturing is completed, the clamps are released, and hemostasis is meticulously checked along the suture line to ensure that there is no further bleeding. Finally, the overlying tissues are repaired in layers with sutures to restore the anatomical structure of the hand or finger.