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An aortofemoral-popliteal bypass graft, designated by CPT® Code 35551, is a surgical procedure aimed at restoring blood flow in patients with significant arterial obstruction. This procedure involves the creation of a bypass route using a vein graft to circumvent blocked segments of the aorta and iliac arteries, as well as the femoral artery, ultimately connecting to the popliteal artery located behind the knee. The operation begins with an incision in the abdomen to access the aorta, followed by mobilization of the small intestine and opening of the retroperitoneum to expose the aorta. A tunnel is then created from the aorta over the iliac artery, facilitating the connection to the femoral artery through a groin incision. The procedure requires careful dissection and exposure of the arteries involved, ensuring that the graft can be properly placed. The vein graft, often harvested from the saphenous vein in the leg, is meticulously prepared and anastomosed to both the aorta and the popliteal artery. This complex surgical intervention is critical for patients suffering from peripheral vascular disease, as it aims to restore adequate blood flow to the lower extremities, thereby alleviating symptoms and preventing complications associated with poor circulation.
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The aortofemoral-popliteal bypass graft procedure is indicated for patients experiencing significant arterial obstruction that impairs blood flow to the lower extremities. The following conditions may warrant this surgical intervention:
The aortofemoral-popliteal bypass graft procedure involves several critical steps to ensure successful graft placement and restoration of blood flow:
Post-procedure care for patients undergoing an aortofemoral-popliteal bypass graft includes monitoring for complications such as bleeding, infection, or graft failure. Patients are typically observed in a recovery area before being transferred to a hospital room. Pain management is provided, and vital signs are closely monitored. Rehabilitation may be initiated to promote mobility and recovery. Follow-up appointments are essential to assess the graft's patency and the patient's overall vascular health. Patients are advised on lifestyle modifications and may be prescribed medications to manage risk factors associated with peripheral vascular disease.
| Short Descr | ARTERY BYPASS GRAFT | Medium Descr | BYP W/VEIN AORTOFEMPOP | Long Descr | Bypass graft, with vein; aortofemoral-popliteal | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Discontinued Code | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 55 - Peripheral vascular bypass |
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