CPT® Code 35651

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The CPT® Code 35651 refers to a surgical procedure known as a bypass graft, specifically an aortofemoral-popliteal bypass graft that utilizes a synthetic material rather than a vein. This procedure is performed to create a new pathway for blood flow around an obstructed section of the aorta, which is the main artery supplying blood to the lower body. The bypass graft connects the aorta to the femoral artery, which is located in the groin, and extends down to the popliteal artery, situated behind the knee. The procedure involves several critical steps, including the opening of the abdomen and retroperitoneum to access the aorta, the creation of a tunnel for the graft, and the careful anastomosis of the graft to both the aorta and the popliteal artery. The use of a synthetic graft is particularly important in cases where the patient's veins are not suitable for grafting. This procedure is essential for restoring adequate blood flow to the lower extremities, which can alleviate symptoms associated with peripheral artery disease and improve overall limb health.