CPT® Code 35682

Add-On Code

Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure)

The CPT® Code 35682 refers to a surgical procedure known as an autogenous composite bypass graft, which involves the use of two segments of veins harvested from two different locations. This procedure is typically performed when a patient does not have sufficient vein material available in the limb that requires the bypass. In such cases, the physician will harvest segments of vein from a different limb, ensuring that the graft can be constructed effectively. The veins that may be utilized for this procedure include the contralateral greater saphenous vein, lesser saphenous vein, superficial femoral vein, or veins from the arm such as the cephalic or basilic veins. The harvested vein segments are then carefully anastomosed, or surgically connected, to create a conduit that is of the necessary length to facilitate the bypass. This technique is crucial for patients who require bypass surgery but lack adequate vein supply in the affected limb, thereby allowing for successful revascularization and improved blood flow to the targeted area.