CPT® Code 35572

Add-On Code

Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure)

The harvest of the femoropopliteal vein, specifically coded as CPT® Code 35572, refers to a surgical procedure in which a segment of the superficial femoral-popliteal vein (SFPV) is extracted for use in vascular reconstruction. This procedure is particularly significant in cases involving aortic grafts, infected vascular grafts, limb salvage operations, and extensive venous reconstructions. The SFPV is chosen due to its suitability and availability for these types of reconstructive surgeries. During the procedure, a surgical incision is made along the lateral border of the sartorius muscle, which is a long, thin muscle located in the thigh. The surgeon then reflects the sartorius muscle medially to gain access to the SFPV, which is subsequently exposed and mobilized for harvesting. The vein is carefully ligated and divided at the junction where it meets the deep and common femoral veins. The specific site of distal transection is determined by the length of vein required for the intended reconstruction. Once harvested, the SFPV is prepared for its role in the reconstruction, which may involve performing a valvotomy. This step is crucial as it allows for the placement of the vein graft in a non-reversed position, ensuring optimal functionality in the vascular reconstruction procedure.