CPT® Code 35276

An intrathoracic blood vessel repair involves the surgical intervention to mend a damaged blood vessel located within the thoracic cavity, utilizing a graft that is not derived from a vein. This procedure typically requires the chest to be opened, which can be accomplished through a median sternotomy or alternative surgical approaches. The necessity for cardiopulmonary bypass may arise depending on the specific nature and severity of the injury to the blood vessel. During the operation, the affected blood vessel is carefully exposed, and clamps are applied both proximal and distal to the injury site to effectively control any bleeding. A thorough evaluation of the injury's extent is conducted to determine the appropriate course of action. If an arterial graft is indicated, a segment of artery is harvested and meticulously prepared for grafting. In some cases, a synthetic graft may be utilized instead. The damaged edges of the blood vessel are debrided to ensure a clean surface for repair, and the prepared graft is then sutured to both ends of the injured vessel. If cardiopulmonary bypass was employed during the procedure, the patient is subsequently weaned off the bypass support. Finally, the overlying tissues are sutured back together in layers to complete the surgical repair. It is important to note that CPT® Code 35271 is designated for repairs performed with cardiopulmonary bypass, while CPT® Code 35276 is specifically for those conducted without the use of bypass.