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CPT 35189: Repair of Acquired or Traumatic Arteriovenous Fistula
CPT code 35189 denotes surgical repair of an acquired or traumatic arteriovenous fistula accessed via an incision in the thorax or abdomen. This procedure is relevant nationally for vascular and thoracic surgeons, hospital surgical services, and payers that manage complex vascular repairs. It is typically performed in an operating room setting, either in an inpatient admission or in an ambulatory surgical center for selected patients.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context for thoracic or abdominal arteriovenous fistula repair, expected sites of service, common billing modifiers associated with surgical services, and an outline of where benchmarking and policy updates commonly affect coverage and reimbursement for complex vascular procedures. The summary highlights operational considerations for coding and billing this surgical service and directs readers to sections with benchmark and policy content where available.
Data not available in the input regarding associated taxonomies, specific ICD-10 diagnoses, related codes, and payer-specific reimbursement rates.
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Billing Code Overview
CPT code 35189 describes a surgical procedure in which the provider makes an incision in the thorax or abdomen to approach an acquired or traumatic arteriovenous fistula and performs repair of the fistula. The service type is surgical repair of an arteriovenous fistula. The typical site of service is an inpatient or outpatient surgical setting involving the thoracic or abdominal cavity, such as an operating room in a hospital or ambulatory surgical center.
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