35189 repair acq av fistula thrx & abdominal
Also known as: acquired AV fistula thorax/abdomen, post-traumatic visceral AVF
Repair of acquired arteriovenous fistula in the thorax and abdomen with restoration of vascular integrity.
In Plain Language
Fixing injury-caused blood vessel connection in chest/belly; Repairing complications from abdominal trauma
Clinical Context
Surgical intervention for acquired arteriovenous fistulas from blunt/penetrating trauma, vascular surgery complications, or inflammatory conditions. Management depends on involved vessels and presence of intervening organs; may require staged intervention.
RVU Breakdown
| Work RVU | 29.23 |
| Total RVU | 29.23 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 29.23, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35189?
CPT 35189 (repair acq av fistula thrx & abdominal) is a Surgery code. Repair of acquired arteriovenous fistula in the thorax and abdomen with restoration of vascular integrity.
What is the wRVU value for CPT 35189?
The work RVU for CPT 35189 is 29.23. This code is primarily used by Vascular Surgery, Trauma Surgery, General Surgery. It has a 90-day global period.
When is CPT 35189 used?
Surgical intervention for acquired arteriovenous fistulas from blunt/penetrating trauma, vascular surgery complications, or inflammatory conditions. Management depends on involved vessels and presence of intervening organs; may require staged intervention.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.