CPT® Code 35558

The CPT® Code 35558 refers to a surgical procedure known as a femoral-femoral bypass graft using a vein. This procedure is performed to create an alternative pathway for blood flow between the femoral arteries on both sides of the body, typically in cases where one of the arteries is obstructed or narrowed due to conditions such as atherosclerosis. The procedure involves making incisions in the groin area on both sides to access the common femoral arteries. Surgeons then dissect the soft tissue to expose these arteries and create an abdominal tunnel for the placement of a cross-over graft. A vein, often the saphenous vein from the leg, is harvested to serve as the graft material. The harvested vein is carefully prepared by ligating and dividing its branches before being sutured to the common femoral arteries on both sides. This surgical intervention aims to restore adequate blood flow to the affected limb, thereby alleviating symptoms such as pain and improving overall limb function. The procedure is critical in managing vascular diseases and preventing complications associated with poor blood circulation.