35190 Repair acq av fistula xtr
Also known as: acquired AV fistula extremity, traumatic limb AVF repair
Repair of acquired arteriovenous fistula in the extremity with vessel reconstruction or ligation.
In Plain Language
Fixing injury-caused blood vessel connection in arm/leg; Repairing complication from limb injury
Clinical Context
Surgical management of acquired arteriovenous fistulas from penetrating trauma, gunshot wounds, or vascular access complications. Treatment ranges from simple ligation in non-critical vessels to complex reconstruction preserving limb perfusion.
RVU Breakdown
| Work RVU | 13.08 |
| Total RVU | 13.08 |
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 13.08, this code ranks in the 68th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35190?
CPT 35190 (Repair acq av fistula xtr) is a Surgery code. Repair of acquired arteriovenous fistula in the extremity with vessel reconstruction or ligation.
What is the wRVU value for CPT 35190?
The work RVU for CPT 35190 is 13.08. This code is primarily used by Vascular Surgery, Trauma Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 35190 used?
Surgical management of acquired arteriovenous fistulas from penetrating trauma, gunshot wounds, or vascular access complications. Treatment ranges from simple ligation in non-critical vessels to complex reconstruction preserving limb perfusion.
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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.