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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

ABDOMINAL OBSTRUCTIVE CELIAC/SMA ENDARTERECTOMY, BYPASS

CPT Code Defined Ctgy Description

35341 35531 35631

AB/COMPLX AB/COMPLX AB/COMPLX

Thromboendarterectomy, with or without patch graft; mesenteric, celiac, or renal Bypass graft, with vein; aortoceliac or aortomesenteric Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal

RENAL ENDARTERECTOMY, BYPASS

CPT Code Defined Ctgy Description

35536 35560 35636 AMPUTATIONS

AB/COMPLX AB/COMPLX AB/COMPLX

Bypass graft, with vein; splenorenal Bypass graft, with vein; aortorenal Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)

AMPUTATION CLOSURE, REVISION

CPT Code Defined Ctgy Description

23921 24925 25907 25922 25929 27594 27884 AMPUTATION, ABOVE KNEE

CPT Code Defined Ctgy

Disarticulation of shoulder; secondary closure or scar revision Amputation, arm through humerus; secondary closure or scar revision Amputation, forearm, through radius and ulna; secondary closure or scar revision Disarticulation through wrist; secondary closure or scar revision Transmetacarpal amputation; secondary closure or scar revision Amputation, thigh, through femur, any level; secondary closure or scar revision Amputation, leg, through tibia and fibula; secondary closure or scar revision

Description

27290 27295 27590 27591 27592 27596 27598 AMPUTATION, BELOW KNEE

CPT Code Defined Ctgy

Interpelviabdominal amputation (hindquarter amputation) Disarticulation of hip Amputation, thigh, through femur, any level; Amputation, thigh, through femur, any level; immediate fitting technique including first cast Amputation, thigh, through femur, any level; open, circular (guillotine) Amputation, thigh, through femur, any level; re-amputation Disarticulation at knee

Description

27880 27881 27882 27886

Amputation, leg, through tibia and fibula; Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Amputation, leg, through tibia and fibula; open, circular (guillotine) Amputation, leg, through tibia and fibula; re-amputation

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

AMPUTATIONS AMPUTATION, BELOW KNEE

CPT Code Defined Ctgy Description

27888 27889 AMPUTATION, DIGIT

CPT Code Defined Ctgy

Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves Ankle disarticulation

Description

28820 28825

Amputation, toe; metatarsophalangeal joint Amputation, toe; interphalangeal joint

AMPUTATION, TRANSMETATARSAL

CPT Code Defined Ctgy Description

28800 28805 28810

Amputation, foot; midtarsal (eg, Chopart type procedure) Amputation, foot; transmetatarsal Amputation, metatarsal, with toe, single

AMPUTATION, UPPER EXTREMITY

CPT Code Defined Ctgy Description

23900 23920 24900 24920 24930 24931 25900 25905 25909 25915 25920 25924 25927 25931 26910 26951 26952

Interthoracoscapular amputation (forequarter) Disarticulation of shoulder; Amputation, arm through humerus; with primary closure Amputation, arm through humerus; open, circular (guillotine) Amputation, arm through humerus; re-amputation Amputation, arm through humerus; with implant Amputation, forearm, through radius and ulna; Amputation, forearm, through radius and ulna; open, circular (guillotine) Amputation, forearm, through radius and ulna; re-amputation Krukenberg procedure Disarticulation through wrist; Disarticulation through wrist; re-amputation Transmetacarpal amputation; Transmetacarpal amputation; re-amputation Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)

ANEURYSM REPAIR

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

ANEURYSM REPAIR REPAIR FEMORAL ANEURYSM

CPT Code Defined Ctgy Description

35141

PERI

35142

PERI

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femoral artery (profunda femoris, superficial femoral) Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral)

REPAIR INFRARENAL A-I ANEURYSM, ELECTIVE

CPT Code Defined Ctgy Description

34830 34831 34832 35081

AB AB AB AB

35102

AB

35131

AB

Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external) Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery (common, hypogastric, external)

REPAIR INFRARENAL A-I ANEURYSM, RUPTURED

CPT Code Defined Ctgy Description

35082 35103

AB/COMPLX AB/COMPLX

35132

AB/COMPLX

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external) Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external)

REPAIR OTHER ANEURYSM - DEF CAT CREDIT

CPT Code Defined Ctgy Description

35111

AB

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic artery

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

ANEURYSM REPAIR REPAIR OTHER ANEURYSM - DEF CAT CREDIT

CPT Code Defined Ctgy Description

35112 35121

AB AB

35122

AB

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, celiac, renal, or mesenteric artery Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery

REPAIR POPLITEAL ANEURYSM

CPT Code Defined Ctgy Description

35151

PERI

35152

PERI

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal artery Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery

REPAIR SUPRARENAL AORTA

CPT Code Defined Ctgy Description

35091

AB/COMPLX

35092

AB/COMPLX

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal) Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)

REPAIR THORACIC AORTIC ANEURYSM

CPT Code Defined Ctgy Description

33875

COMPLX

Descending thoracic aorta graft, with or without bypass

REPAIR THORACOABDOMINAL AORTIC ANEURYSM

CPT Code Defined Ctgy Description

33877

AB/COMPLX

Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass

CEREBROVASCULAR CAROTID ENDARTERECTOMY

CPT Code Defined Ctgy Description

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

CEREBROVASCULAR CAROTID ENDARTERECTOMY

CPT Code Defined Ctgy Description

35301

C-VASC

Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision

CERVICAL BYPASS AORTIC ARCH BRANCHES

CPT Code Defined Ctgy Description

0037T 35501 35506 35507 35509 35511 35516 35518 35601 35606 35612 35616 35650 35694 35695

C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC C-VASC

Open subclavian to carotid artery transposition performed in conjunction with endovascular thoracic aneurysm repair, by neck incision, unilateral Bypass graft, with vein; carotid Bypass graft, with vein; carotid-subclavian Bypass graft, with vein; subclavian-carotid Bypass graft, with vein; carotid-carotid Bypass graft, with vein; subclavian-subclavian Bypass graft, with vein; subclavian-axillary Bypass graft, with vein; axillary-axillary Bypass graft, with other than vein; carotid Bypass graft, with other than vein; carotid-subclavian Bypass graft, with other than vein; subclavian-subclavian Bypass graft, with other than vein; subclavian-axillary Bypass graft, with other than vein; axillary-axillary Transposition and/or reimplantation; subclavian to carotid artery Transposition and/or reimplantation; carotid to subclavian artery

DIRECT REPAIR AORTIC ARCH BRANCHES

CPT Code Defined Ctgy Description

35021

35022

35311 35526 35626

C-VASC/COMPLX Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, subclavian artery, by thoracic incision C-VASC/COMPLX Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision C-VASC/COMPLX Thromboendarterectomy, with or without patch graft; subclavian, innominate, by thoracic incision C-VASC/COMPLX Bypass graft, with vein; aortosubclavian or carotid C-VASC/COMPLX Bypass graft, with other than vein; aortosubclavian or carotid

EXCISE CAROTID BODY TUMOR

CPT Code Defined Ctgy Description

60600 60605

C-VASC/COMPLX Excision of carotid body tumor; without excision of carotid artery C-VASC/COMPLX Excision of carotid body tumor; with excision of carotid artery

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

CEREBROVASCULAR OTHER CEREBROVASCULAR

CPT Code Defined Ctgy Description

35800

Exploration for postoperative hemorrhage, thrombosis or infection; neck

OTHER MAJOR CEREBROVASCULAR - DEF CAT CREDIT

CPT Code Defined Ctgy Description

35001

35002

35005

35901

C-VASC/COMPLX Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, carotid, subclavian artery, by neck incision C-VASC/COMPLX Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision C-VASC/COMPLX Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral artery C-VASC/COMPLX Excision of infected graft; neck

REOPERATIVE CAROTID SURGERY (SECONDARY PROCEDURE ONLY)

CPT Code Defined Ctgy Description

35390

COMPLX

Reoperation, carotid, thromboendarterectomy, more than one month after original operation (List separately in addition to code for primary procedure)

VERTEBRAL ARTERY OPERATION

CPT Code Defined Ctgy Description

35508 35515 35642 35645 35691 35693

C-VASC/COMPLX Bypass graft, with vein; carotid-vertebral C-VASC/COMPLX Bypass graft, with vein; subclavian-vertebral C-VASC/COMPLX Bypass graft, with other than vein; carotid-vertebral C-VASC/COMPLX Bypass graft, with other than vein; subclavian-vertebral C-VASC/COMPLX Transposition and/or reimplantation; vertebral to carotid artery C-VASC/COMPLX Transposition and/or reimplantation; vertebral to subclavian artery

ENDOVASCULAR DIAGNOSTIC ANGIOSCOPY

CPT Code Defined Ctgy Description

35400

ENDO-D

Angioscopy (non-coronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure)

ARTERIOGRAPHY

CPT Code Defined Ctgy Description

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

ENDOVASCULAR DIAGNOSTIC ARTERIOGRAPHY

CPT Code Defined Ctgy Description

36015 36100 36120 36140 36145 36160 36200 36215 36216 36217 36218

ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D

36245 36246 36247 36248

ENDO-D ENDO-D ENDO-D ENDO-D

Selective catheter placement, segmental or subsegmental pulmonary artery Introduction of needle or intracatheter, carotid or vertebral artery Introduction of needle or intracatheter; retrograde brachial artery Introduction of needle or intracatheter; extremity artery Introduction of needle or intracatheter; arteriovenous shunt created for dialysis (cannula, fistula, or graft) Introduction of needle or intracatheter, aortic, translumbar Introduction of catheter, aorta Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate) Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)

INTRAVASCULAR ULTRASOUND

CPT Code Defined Ctgy Description

37250

ENDO-D

37251

ENDO-D

Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (List separately in addition to code for primary procedure) Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; each additional vessel (List separately in addition to code for primary procedure)

OTHER CATHETER PROCEDURE

CPT Code Defined Ctgy Description

35480 35481 35482 35483 35484

ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T

Transluminal peripheral atherectomy, open; renal or other visceral artery Transluminal peripheral atherectomy, open; aortic Transluminal peripheral atherectomy, open; iliac Transluminal peripheral atherectomy, open; femoral-popliteal Transluminal peripheral atherectomy, open; brachiocephalic trunk or branches, each vessel

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

ENDOVASCULAR DIAGNOSTIC OTHER CATHETER PROCEDURE

CPT Code Defined Ctgy Description

35485 35490 35491 35492 35493 35494 35495 37202 37203 37204

ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T

Transluminal peripheral atherectomy, open; tibioperoneal trunk and branches Transluminal peripheral atherectomy, percutaneous; renal or other visceral artery Transluminal peripheral atherectomy, percutaneous; aortic Transluminal peripheral atherectomy, percutaneous; iliac Transluminal peripheral atherectomy, percutaneous; femoral-popliteal Transluminal peripheral atherectomy, percutaneous; brachiocephalic trunk or branches, each vessel Transluminal peripheral atherectomy, percutaneous; tibioperoneal trunk and branches Transcatheter therapy, infusion other than for thrombolysis, any type (eg, spasmolytic, vasoconstrictive) Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter) Transcatheter occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method, non-central nervous system, non-head or neck

VENOGRAPHY

CPT Code Defined Ctgy Description

36005 36010 36011 36012 36013 36014

ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D ENDO-D

Injection procedure for extremity venography (including introduction of needle or intracatheter) Introduction of catheter, superior or inferior vena cava Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) Introduction of catheter, right heart or main pulmonary artery Selective catheter placement, left or right pulmonary artery

ENDOVASCULAR THERAPUETIC BALLOON ANGIOPLASTY

CPT Code Defined Ctgy Description

35450 35452 35454 35456 35458 35459 35460 35470 35471 35472

ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T ENDO-T

Transluminal balloon angioplasty, open; renal or other visceral artery Transluminal balloon angioplasty, open; aortic Transluminal balloon angioplasty, open; iliac Transluminal balloon angioplasty, open; femoral-popliteal Transluminal balloon angioplasty, open; brachiocephalic trunk or branches, each vessel Transluminal balloon angioplasty, open; tibioperoneal trunk and branches Transluminal balloon angioplasty, open; venous Transluminal balloon angioplasty, percutaneous; tibioperoneal trunk or branches, each vessel Transluminal balloon angioplasty, percutaneous; renal or visceral artery Transluminal balloon angioplasty, percutaneous; aortic

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8

AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

ENDOVASCULAR THERAPUETIC BALLOON ANGIOPLASTY

CPT Code Defined Ctgy Description

35473 35474 35475 35476

ENDO-T ENDO-T ENDO-T ENDO-T

Transluminal balloon angioplasty, percutaneous; iliac Transluminal balloon angioplasty, percutaneous; femoral-popliteal Transluminal balloon angioplasty, percutaneous; brachiocephalic trunk or branches, each vessel Transluminal balloon angioplasty, percutaneous; venous

ENDOVASCULAR REPAIR AORTIC ANEURYSM

CPT Code Defined Ctgy Description

0033T 0034T 0035T 0036T

ENDO-G ENDO-G ENDO-G ENDO-G

34800 34802 34803 34804 34805 34825 34826

ENDO-G ENDO-G ENDO-G ENDO-G ENDO-G ENDO-G ENDO-G

34833 34834

ENDO-G ENDO-G

Endovascular repair of descending thoracic aortic aneurysm, pseudoaneurysm or dissection; involving coverage of left subclavian artery origin, initial endoprosthesis Endovascular repair of descending thoracic aortic aneurysm, pseudoaneurysm or dissection; not involving coverage of left subclavian artery origin, initial endoprosthesis Placement of proximal or distal extension prosthesis for endovascular repair of descending thoracic aortic aneurysm, pseudoaneurysm or dissection; initial extension Placement of proximal or distal extension prosthesis for endovascular repair of descending thoracic aortic aneurysm, pseudoaneurysm or dissection; each additional extension (List separately in addition to code for primary procedure) Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (one docking limb) Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (two docking limbs) Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; each additional vessel (List separately in addition to code for primary procedure) Open iliac artery exposure with creation of conduit for delivery of infrarenal aortic or iliac endovascular prosthesis, by abdominal or retroperitoneal incision, unilateral Open brachial artery exposure to assist in the deployment of infrarenal aortic or iliac endovascular prosthesis by arm incision, unilateral

OTHER ENDOVASCULAR GRAFT

CPT Code Defined Ctgy Description

34808 34900

ENDO-G ENDO-G

Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) Endovascular graft placement for repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma)

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

ENDOVASCULAR THERAPUETIC THROMBOLYSIS

CPT Code Defined Ctgy Description

37195 37201 37209

ENDO-T ENDO-T ENDO-T

Thrombolysis, cerebral, by intravenous infusion Transcatheter therapy, infusion for thrombolysis other than coronary Exchange of a previously placed arterial catheter during thrombolytic therapy

TRANSCATHETER STENT

CPT Code Defined Ctgy Description

37205 37206

ENDO-T ENDO-T

37207 37208

ENDO-T ENDO-T

Transcatheter placement of an intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous; initial vessel Transcatheter placement of an intravascular stent(s), (except coronary, carotid, and vertebral vessel), percutaneous; each additional vessel (List separately in addition to code for primary procedure) Transcatheter placement of an intravascular stent(s), (non-coronary vessel), open; initial vessel Transcatheter placement of an intravascular stent(s), (non-coronary vessel), open; each additional vessel (List separately in addition to code for primary procedure)

VENA CAVAL INTERRUPTION/FILTER

CPT Code Defined Ctgy Description

37620

ENDO-T

Interruption, partial or complete, of inferior vena cava by suture, ligation, plication, clip, extravascular, intravascular (umbrella device)

EXTRA-ANATOMIC AXILLO-FEMORAL BYPASS

CPT Code Defined Ctgy Description

35521 35533 35621 35654

PERI PERI PERI PERI

Bypass graft, with vein; axillary-femoral Bypass graft, with vein; axillary-femoral-femoral Bypass graft, with other than vein; axillary-femoral Bypass graft, with other than vein; axillary-femoral-femoral

AXILLO-POPLITEAL-TIBIAL BYPASS

CPT Code Defined Ctgy Description

35623

PERI

Bypass graft, with other than vein; axillary-popliteal or -tibial

FEMORAL-FEMORAL BYPASS

CPT Code Defined Ctgy Description

34813

PERI

Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure)

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

EXTRA-ANATOMIC FEMORAL-FEMORAL BYPASS

CPT Code Defined Ctgy Description

35558 35661

PERI PERI

Bypass graft, with vein; femoral-femoral Bypass graft, with other than vein; femoral-femoral

MISCELLANEOUS EXCISE INFECTED GRAFT, ABDOMEN-THORAX

CPT Code Defined Ctgy Description

35905 35907

AB/COMPLX AB/COMPLX

Excision of infected graft; thorax Excision of infected graft; abdomen

EXCISE INFECTED GRAFT, PERIPHERAL

CPT Code Defined Ctgy Description

35903

PERI

Excision of infected graft; extremity

EXPLORE ARTERY

CPT Code Defined Ctgy Description

34812 34820 35701 35721 35741 35761 LYMPHATIC PROCEDURE

CPT Code Defined Ctgy

Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral Exploration (not followed by surgical repair), with or without lysis of artery; carotid artery Exploration (not followed by surgical repair), with or without lysis of artery; femoral artery Exploration (not followed by surgical repair), with or without lysis of artery; popliteal artery Exploration (not followed by surgical repair), with or without lysis of artery; other vessels

Description

38999 MAJOR VASCULAR LIGATION

CPT Code Defined Ctgy

Unlisted procedure, hemic or lymphatic system

Description

37565 37600 37605 37606 37607 37609

Ligation, internal jugular vein Ligation; external carotid artery Ligation; internal or common carotid artery Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Ligation or banding of angioaccess arteriovenous fistula Ligation or biopsy, temporal artery

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11

AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

MISCELLANEOUS MAJOR VASCULAR LIGATION

CPT Code Defined Ctgy Description

37615 37616 37617 37618 37650 37660

Ligation, major artery (eg, post-traumatic, rupture); neck Ligation, major artery (eg, post-traumatic, rupture); chest Ligation, major artery (eg, post-traumatic, rupture); abdomen Ligation, major artery (eg, post-traumatic, rupture); extremity Ligation of femoral vein Ligation of common iliac vein

OTHER VASCULAR PROCEDURE

CPT Code Defined Ctgy Description

35820 35840 37799 PSEUDOANEURYSM INJECTION

CPT Code Defined Ctgy

Exploration for postoperative hemorrhage, thrombosis or infection; chest Exploration for postoperative hemorrhage, thrombosis or infection; abdomen Unlisted procedure, vascular surgery

Description

36002

Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm

REPAIR GRAFT-ENTERIC FISTULA

CPT Code Defined Ctgy Description

35870

AB/COMPLX

Repair of graft-enteric fistula

SYMPATHECTOMY

CPT Code Defined Ctgy Description

32664 64802 64804 64809 64818 PERIPH OBSTRUCTIVE

Thoracoscopy, surgical; with thoracic sympathectomy Sympathectomy, cervical Sympathectomy, cervicothoracic Sympathectomy, thoracolumbar Sympathectomy, lumbar

AORTO-ILIAC/FEMORAL BYPASS

CPT Code Defined Ctgy Description

35331 35351 35355 35361 35363

AB AB AB AB AB

Thromboendarterectomy, with or without patch graft; abdominal aorta Thromboendarterectomy, with or without patch graft; iliac Thromboendarterectomy, with or without patch graft; iliofemoral Thromboendarterectomy, with or without patch graft; combined aortoiliac Thromboendarterectomy, with or without patch graft; combined aortoiliofemoral

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12

AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

PERIPH OBSTRUCTIVE AORTO-ILIAC/FEMORAL BYPASS

CPT Code Defined Ctgy Description

35541 35546 35548 35549 35551 35641 35646 35647 35651

AB AB AB AB AB AB AB AB AB

Bypass graft, with vein; aortoiliac or bi-iliac Bypass graft, with vein; aortofemoral or bifemoral Bypass graft, with vein; aortoiliofemoral, unilateral Bypass graft, with vein; aortoiliofemoral, bilateral Bypass graft, with vein; aortofemoral-popliteal Bypass graft, with other than vein; aortoiliac or bi-iliac Bypass graft, with other than vein; aortobifemoral Bypass graft, with other than vein; aortofemoral Bypass graft, with other than vein; aortofemoral-popliteal

COMPOSITE LEG BYPASS GRAFT (SECONDARY PROCEDURE ONLY)

CPT Code Defined Ctgy Description

35681 35682 35683

Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure) Bypass graft; autogenous composite, two segments of veins from two locations (List separately in addition to code for primary procedure) Bypass graft; autogenous composite, three or more segments of vein from two or more locations (List separately in addition to code for primary procedure)

EMBOLECT/THROMBECTOMY ARTERY

CPT Code Defined Ctgy Description

34001 34051 34101 34111 34151 34201 34203

Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

FEMORAL, PROFUNDA ENDARTERECTOMY

CPT Code Defined Ctgy Description

35371 35372

PERI PERI

Thromboendarterectomy, with or without patch graft; common femoral Thromboendarterectomy, with or without patch graft; deep (profunda) femoral

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

PERIPH OBSTRUCTIVE FEMORAL-POPLITEAL BYPASS, PROSTHETIC

CPT Code Defined Ctgy Description

35656

PERI

Bypass graft, with other than vein; femoral-popliteal

FEMORAL-POPLITEAL BYPASS, VEIN

CPT Code Defined Ctgy Description

35556 35583

PERI PERI

Bypass graft, with vein; femoral-popliteal In-situ vein bypass; femoral-popliteal

GRAFT THROMBECTOMY

CPT Code Defined Ctgy Description

35875

Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);

HARVEST ARM VEIN (SECONDARY PROCEDURE ONLY)

CPT Code Defined Ctgy Description

35500 35600 ILIO-ILIAC/FEMORAL BYPASS

CPT Code Defined Ctgy

Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) Harvest of upper extremity artery, one segment, for coronary artery bypass procedure

Description

35563 35565 35663 35665

AB AB AB AB

Bypass graft, with vein; ilioiliac Bypass graft, with vein; iliofemoral Bypass graft, with other than vein; ilioiliac Bypass graft, with other than vein; iliofemoral

INFRAPOPLITEAL BYPASS, VEIN

CPT Code Defined Ctgy Description

35566 35571 35585 35587

PERI PERI PERI PERI

Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery In-situ vein bypass; popliteal-tibial, peroneal

INFRAPOPLITEAL BYPASS, PROSTHETIC

CPT Code Defined Ctgy Description

35666 35671

PERI PERI

Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery Bypass graft, with other than vein; popliteal-tibial or -peroneal artery

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

PERIPH OBSTRUCTIVE OTHER MAJOR PERIPHERAL

CPT Code Defined Ctgy Description

35860

Exploration for postoperative hemorrhage, thrombosis or infection; extremity

OTHER MAJOR PERIPHERAL - DEF CAT CREDIT

CPT Code Defined Ctgy Description

35381 37788 37790

PERI PERI PERI

Thromboendarterectomy, with or without patch graft; femoral and/or popliteal, and/or tibioperoneal Penile revascularization, artery, with or without vein graft Penile venous occlusive procedure

RE-DO LOWER EXTREMITY BYPASS (SECONDARY PROCEDURE ONLY)

CPT Code Defined Ctgy Description

35700

Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery or other distal vessels, more than one month after original operation (List separately in addition to code for primary procedure)

REVISE ARTERIAL BYPASS

CPT Code Defined Ctgy Description

35876 35879 35881

PERI PERI PERI

Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition

VEIN CUFF OR AVF (SECONDARY PROCEDURE ONLY)

CPT Code Defined Ctgy Description

35685 35686

Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure) Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure)

TRAUMA FASCIOTOMY

CPT Code Defined Ctgy Description

24495 25020

Decompression fasciotomy, forearm, with brachial artery exploration Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

TRAUMA FASCIOTOMY

CPT Code Defined Ctgy Description

25023 27025 27600 27601 27602 27892 27893 27894

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve Fasciotomy, hip or thigh, any type Decompression fasciotomy, leg; anterior and/or lateral compartments only Decompression fasciotomy, leg; posterior compartment(s) only Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve

REPAIR ABDOMINAL VESSELS

CPT Code Defined Ctgy Description

35189 35221 35251 35281

AB AB AB AB

Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen Repair blood vessel, direct; intra-abdominal Repair blood vessel with vein graft; intra-abdominal Repair blood vessel with graft other than vein; intra-abdominal

REPAIR NECK VESSELS

CPT Code Defined Ctgy Description

35188 35201 35231 35261

C-VASC C-VASC C-VASC C-VASC

Repair, acquired or traumatic arteriovenous fistula; head and neck Repair blood vessel, direct; neck Repair blood vessel with vein graft; neck Repair blood vessel with graft other than vein; neck

REPAIR PERIPHERAL VESSELS

CPT Code Defined Ctgy Description

35190 35206 35207 35226 35236 35256 35266 35286

PERI PERI PERI PERI PERI PERI PERI PERI

Repair, acquired or traumatic arteriovenous fistula; extremities Repair blood vessel, direct; upper extremity Repair blood vessel, direct; hand, finger Repair blood vessel, direct; lower extremity Repair blood vessel with vein graft; upper extremity Repair blood vessel with vein graft; lower extremity Repair blood vessel with graft other than vein; upper extremity Repair blood vessel with graft other than vein; lower extremity

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

TRAUMA REPAIR THORACIC VESSELS

CPT Code Defined Ctgy Description

33320 33321 33322 33330 33332 33335 35211 35216 35241 35246 35271 35276

COMPLX COMPLX COMPLX COMPLX COMPLX COMPLX COMPLX COMPLX COMPLX COMPLX COMPLX COMPLX

Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass Suture repair of aorta or great vessels; with shunt bypass Suture repair of aorta or great vessels; with cardiopulmonary bypass Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass Insertion of graft, aorta or great vessels; with shunt bypass Insertion of graft, aorta or great vessels; with cardiopulmonary bypass Repair blood vessel, direct; intrathoracic, with bypass Repair blood vessel, direct; intrathoracic, without bypass Repair blood vessel with vein graft; intrathoracic, with bypass Repair blood vessel with vein graft; intrathoracic, without bypass Repair blood vessel with graft other than vein; intrathoracic, with bypass Repair blood vessel with graft other than vein; intrathoracic, without bypass

UPPER EXTREMITY ARM BYPASS,ENDARTERECTOMY,REPAIR

CPT Code Defined Ctgy Description

35011

PERI

35013 35045

PERI PERI

35321

PERI

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ulnar artery Thromboendarterectomy, with or without patch graft; axillary-brachial

THORACIC OUTLET DECOMPRESSION PROC

CPT Code Defined Ctgy Description

21615 21616 VASCULAR ACCESS A-V FISTULA

CPT Code Defined Ctgy

Excision first and/or cervical rib; Excision first and/or cervical rib; with sympathectomy

Description

36819 36820 36821

Arteriovenous anastomosis, open; by upper arm basilic vein transposition Arteriovenous anastomosis, open; by forearm vein transposition Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

VASCULAR ACCESS A-V GRAFT

CPT Code Defined Ctgy Description

36825 36830

Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)

PERCUTANEOUS-OTHER ACCESS

CPT Code Defined Ctgy Description

36800 36810 36815 36822 36823

36835 36860 36861 REVISION, A-V ACCESS

CPT Code Defined Ctgy

Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure Insertion of cannula(s) for prolonged extracorporeal circulation for cardiopulmonary insufficiency (ECMO) (separate procedure) Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) and repair of arteriotomy and venotomy sites Insertion of Thomas shunt (separate procedure) External cannula declotting (separate procedure); without balloon catheter External cannula declotting (separate procedure); with balloon catheter

Description

36831 36832 36833 36834 36870

Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Plastic repair of arteriovenous aneurysm (separate procedure) Thrombectomy, percutaneous, arteriovenous fistula, autogenous or nonautogenous graft (includes mechanical thrombus extraction and intra-graft thrombolysis)

VENOUS EMBOLECTOMY/THROMBECTOMY, VENOUS

CPT Code Defined Ctgy Description

34401 34421 34451 34471

Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision Thrombectomy, direct or with catheter; subclavian vein, by neck incision

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AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

VENOUS EMBOLECTOMY/THROMBECTOMY, VENOUS

CPT Code Defined Ctgy Description

34490

Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision

OPERATION FOR VARICOSE VEINS

CPT Code Defined Ctgy Description

37700 37720 37730 37780 37785

Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Ligation and division and complete stripping of long or short saphenous veins Ligation and division and complete stripping of long and short saphenous veins Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Ligation, division, and/or excision of varicose vein cluster(s), one leg

OPERATIONS FOR VENOUS ULCERATION

CPT Code Defined Ctgy Description

37500 37735

37760 PORTAL-SYSTEMIC SHUNT

CPT Code Defined Ctgy

Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of deep fascia Ligation of perforator veins, subfascial, radical (Linton type), with or without skin graft, open

Description

37140 37145 37160 37180 37181

Venous anastomosis, open; portocaval Venous anastomosis, open; renoportal Venous anastomosis, open; caval-mesenteric Venous anastomosis, open; splenorenal, proximal Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)

REPAIR A-V MALFORMATION

CPT Code Defined Ctgy Description

35180 35182 35184

COMPLX COMPLX COMPLX

Repair, congenital arteriovenous fistula; head and neck Repair, congenital arteriovenous fistula; thorax and abdomen Repair, congenital arteriovenous fistula; extremities

SCLEROTHERAPY, PERIPH VEIN

CPT Code Defined Ctgy Description

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19

AVAILABLE CPT CODES BY AREA AND TYPE For Vascular Surgery

VENOUS SCLEROTHERAPY, PERIPH VEIN

CPT Code Defined Ctgy Description

36468 36469 36470 36471 VENOUS RECONSTRUCTION

CPT Code Defined Ctgy

Single or multiple injections of sclerosing solutions, spider veins (telangiectasia); limb or trunk Single or multiple injections of sclerosing solutions, spider veins (telangiectasia); face Injection of sclerosing solution; single vein Injection of sclerosing solution; multiple veins, same leg

Description

34501 34502 34510 34520 34530

COMPLX COMPLX COMPLX COMPLX COMPLX

Valvuloplasty, femoral vein Reconstruction of vena cava, any method Venous valve transposition, any vein donor Cross-over vein graft to venous system Saphenopopliteal vein anastomosis

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