CPT® Code 35226

The procedure described by CPT® Code 35226 involves the direct repair of a blood vessel in the lower extremity. This surgical intervention is typically indicated when there is an injury to a blood vessel, which may occur due to trauma or other medical conditions. The approach taken during the procedure is contingent upon the specific blood vessel that has sustained damage. Initially, the injured vessel is carefully exposed, allowing the surgeon to access the site of injury. To manage bleeding effectively, the vessel is clamped both proximal and distal to the injury site. This clamping is crucial as it helps to control blood flow during the repair process. In some cases, to maintain blood flow and perfusion to the surrounding tissues while the repair is being performed, a temporary shunt may be placed. Once the vessel is adequately exposed and bleeding is controlled, the surgeon evaluates the extent of the injury. This assessment is vital for determining the appropriate repair technique. The edges of the injured blood vessel are then debrided, which involves removing any damaged or necrotic tissue to ensure a clean surface for suturing. Following debridement, the vessel edges are reapproximated in an end-to-end fashion using sutures, which is a common technique for vascular repairs. After the suturing is completed, the temporary shunt is removed, and the clamps are released. The surgeon then checks for hemostasis, ensuring that there is no further bleeding along the suture line. Finally, the overlying tissues are repaired in layers with sutures, restoring the integrity of the lower extremity. This comprehensive approach ensures that the blood vessel is properly repaired, minimizing the risk of complications and promoting healing.