Summary & Overview
CPT 35112: Open Repair of Ruptured Splenic Artery Aneurysm
CPT code 35112 designates open surgical repair of a ruptured splenic artery aneurysm, involving an abdominal incision with either direct arterial repair or graft placement. This code captures a high-acuity vascular procedure performed emergently or urgently when a splenic artery aneurysm has ruptured. Nationally, accurate use of this code matters for case severity classification, facility resource allocation, and surgical quality reporting.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, common billing modifiers and service-line considerations, and a summary of payer coverage patterns where available. The publication outlines typical sites of service, expected inpatient surgical workflow, and coding considerations that affect claims submission and reimbursement alignment.
The article provides benchmarks and policy-relevant points for administrators and coding professionals, summarizes clinical indications implicit in the procedure description, and flags areas where data are not available in the source input. Data not available in the input includes specific associated taxonomies, ICD-10 diagnosis codes, related CPT or HCPCS codes, and detailed payer-specific reimbursement rates.
Billing Code Overview
CPT code 35112 describes an open surgical procedure in which the surgeon makes an abdominal incision to repair a ruptured splenic artery aneurysm. The operation involves direct repair of the injured artery or placement of a graft at the repair site.
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Service type: Open vascular surgery for arterial repair
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Typical site of service: Inpatient operating room following abdominal access for vascular repair
Clinical & Coding Specifications
Clinical Context
A typical patient is a middle-aged to older adult presenting to the emergency department with sudden, severe left upper quadrant or generalized abdominal pain, hypotension, tachycardia, and signs of intra-abdominal hemorrhage. Imaging (contrast-enhanced CT angiography or ultrasound) identifies a ruptured splenic artery aneurysm. The vascular surgery or general surgery team obtains informed consent and proceeds to the operating room for an open abdominal approach. Under general anesthesia, a midline laparotomy or left subcostal incision is made to expose the splenic artery. The surgeon controls proximal and distal blood flow, evacuates intraperitoneal blood, and performs direct arterial repair or interposition grafting to exclude the ruptured segment. Intraoperative considerations include blood product resuscitation, proximal aortic or celiac control if necessary, possible splenectomy if splenic perfusion cannot be preserved, and postoperative ICU monitoring for hemorrhagic shock and organ dysfunction. Common payors for authorization and post-acute care include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier specified (default) | General reporting when no specific modifier applies to the service |
11 |