2025 CPT code 35180
Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Repair of a congenital arteriovenous fistula in the head and neck.
Modifiers may be applicable depending on the specific circumstances of the procedure. Refer to current CPT guidelines for modifier usage.
Medical necessity for this procedure must be established by documenting the clinical symptoms and signs caused by the fistula, such as pain, swelling, abnormal blood flow, functional impairment, or cosmetic concerns. The documentation should support that the benefits of surgical repair outweigh the risks.
The surgeon is responsible for the entire procedure, from prepping and anesthetizing the patient to making the incision, repairing the fistula, confirming normal blood flow, and closing the incision.
In simple words: This procedure fixes a birth defect where an artery and vein are abnormally connected in the head and neck area.The surgeon makes a cut to reach the connection, closes off the area, separates the artery and vein, and sews them up.They might use a special ultrasound to make sure the blood flow is normal afterward.
This procedure involves the surgical repair of a congenital arteriovenous fistula located in the head and neck region.The surgeon makes an incision to access the fistula, clamps on either side of the abnormal connection, cuts through the connection between the artery and vein, and repairs the vessels with sutures.A Doppler study may be performed to confirm normal blood flow after the repair.The incision is then closed in layers.
Example 1: A newborn is diagnosed with a congenital arteriovenous fistula in the neck causing abnormal blood flow. The surgeon performs a repair using 35180., A child presents with a large congenital arteriovenous malformation in the face causing facial disfiguration. The surgeon performs a complex repair using 35180., An adult experiences a pulsating mass in their scalp, diagnosed as a congenital arteriovenous fistula. The fistula is causing headaches and cosmetic concerns, and the surgeon performs a repair using 35180.
Documentation should include details about the location and size of the fistula, the surgical approach, methods used for repair, confirmation of normal blood flow post-repair (e.g., Doppler study), and any complications encountered.
- Revenue Code: P2F
- Global Days: 90
- Specialties:Vascular Surgery, Pediatric Surgery, Head and Neck Surgery, Plastic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center