CPT® Code 35883

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)

The procedure described by CPT® Code 35883 involves the surgical revision of a femoral anastomosis associated with a synthetic arterial bypass graft located in the groin area. This operation is performed when there are complications such as stenosis, which is a narrowing of the blood vessel that can jeopardize the functionality and patency of the graft. The surgeon makes an incision in the groin to access the previously placed arterial bypass graft that connects the femoral artery to another artery, which may include the aorta, iliac, or popliteal artery. The purpose of the bypass graft is to redirect blood flow around blocked or diseased vessels, ensuring adequate circulation. During the revision, the surgeon evaluates the anastomosis site for any leaks or stenosis and addresses any identified issues. The problematic section of the graft is excised and replaced with a nonautogenous patch graft, which can be made from materials such as synthetic polyester or bovine pericardium. This patch is then sutured into place, restoring the graft's viability and reestablishing the connection to the femoral artery. The procedure concludes with testing the integrity of the new patch graft and anastomosis before the surgical site is closed.