What CPT code reports a subclavian-subclavian bypass graft using a synthetic graft?

What CPT code reports a subclavian-subclavian bypass graft using a synthetic graft?

• A. 35301
• B. 35511
• C. 35513
• D. 35105

Answer: (B)

When coding vascular bypasses, the key is the combination of where the bypass is and what kind of graft is used. A subclavian-to-subclavian bypass using a synthetic (prosthetic) graft is an upper-extremity bypass that specifically uses a prosthetic conduit, which CPT designates with a prosthetic-graft bypass code. That exact code is intended for bypasses in the upper body performed with a synthetic graft, so it best fits the described procedure. If the graft were autogenous (vein) or if the bypass involved different vessels or procedures (endovascular approaches, other locations), different codes would apply.

When coding vascular bypasses, the key is the combination of where the bypass is and what kind of graft is used. A subclavian-to-subclavian bypass using a synthetic (prosthetic) graft is an upper-extremity bypass that specifically uses a prosthetic conduit, which CPT designates with a prosthetic-graft bypass code. That exact code is intended for bypasses in the upper body performed with a synthetic graft, so it best fits the described procedure. If the graft were autogenous (vein) or if the bypass involved different vessels or procedures (endovascular approaches, other locations), different codes would apply.