CPT® Code 35600

Add-On Code

The procedure described by CPT® Code 35600 involves the harvesting of a segment of an upper extremity artery, typically the radial artery, for use in a coronary artery bypass grafting (CABG) procedure. This surgical intervention is essential for patients who require revascularization of the heart due to significant coronary artery disease. The radial artery is chosen for its suitable size and location, making it an effective conduit for bypassing blocked coronary arteries. The process begins with an incision made in the arm, specifically over the radial artery, which is located just below the crease of the elbow and extends down to the wrist. During the procedure, careful dissection is performed to expose the artery while protecting surrounding structures, including the lateral cutaneous nerve. The muscles of the forearm, namely the brachioradialis and flexor carpi radialis, are retracted to provide a clear view of the artery. Once the radial artery is fully mobilized, it is prepared for grafting by flushing it with a solution of papaverine, which helps to prevent vasospasm. The meticulous nature of this procedure ensures that the harvested artery is suitable for use in the bypass graft, ultimately aiding in restoring adequate blood flow to the heart muscle.