2025 CPT code 61711
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Arterial Anastomosis Surgical Procedures on the Nervous System Feed
Surgical connection of extracranial and intracranial arteries (e.g., middle cerebral/cortical arteries).
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 22 for increased procedural services, 51 for multiple procedures, 76 for repeat procedure). Consult the current CPT coding guidelines for detailed information.
The medical necessity for 61711 is established by the presence of a significant vascular lesion (e.g., stenosis, occlusion, aneurysm) affecting cerebral blood flow, leading to neurological deficits.The procedure is justified by the potential to improve neurological function and prevent further ischemia.
The neurosurgeon or vascular surgeon is responsible for performing the procedure. This involves meticulous surgical technique, precise identification of vessels, and careful handling of brain tissue. Post-operative care, including monitoring for complications, is also the responsibility of the surgeon.
- Surgical Procedures on the Nervous System
- Surgery for Aneurysm, Arteriovenous Malformation or Vascular Disease Procedures on the Skull, Meninges, and Brain
In simple words: The doctor surgically connects blood vessels in the brain to bypass a blockage or damaged area, restoring blood flow.This involves removing a small part of the skull bone.
This procedure involves surgically connecting, or anastomosing, extracranial and intracranial arteries, typically the middle cerebral and cortical arteries.Access is gained through a craniotomy, where a portion of the skull bone is removed.The procedure is used to treat blockages or ruptures in brain vessels by creating a bypass to restore blood flow.
Example 1: A patient presents with a moyamoya disease affecting the middle cerebral artery.An extracranial-intracranial bypass is performed using 61711 to restore blood flow to the affected brain region., A patient experiences a stroke due to a blockage in a cortical artery.61711 is used to perform an anastomosis, creating a bypass to re-establish cerebral blood flow., A patient with a traumatic brain injury suffers from a ruptured intracranial artery. The surgeon uses 61711 to create an anastomosis and control bleeding while restoring blood flow.
* Pre-operative imaging studies (angiography, CT scan, MRI) to identify the affected vessels and plan the surgical approach.* Operative report detailing the surgical steps, vessels involved, and any complications.* Post-operative imaging to assess the patency of the anastomosis and monitor for complications.* Complete medical history and physical examination.
** The specific arteries involved in the anastomosis should be documented in the operative report.Careful consideration should be given to the patient's overall health status and potential risks before undertaking this procedure.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided text.Consult the current CPT codebook or a reliable medical billing resource for RVU values.
- Global Days : This information is not available in the provided text.The global period will vary depending on payer and other factors. Consult the current CPT codebook or a reliable medical billing resource for further information.
- Payment Status: Active
- Modifier TC rule: This code does not typically involve separate professional and technical components.
- Fee Schedule : This information is not available in the provided text. Consult a reliable medical billing resource for historical fee schedule data.
- Specialties:Neurosurgery, Vascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center