How To Use CPT Code 35180

CPT 35180 describes the repair of a congenital arteriovenous fistula in the head and neck area. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 35180?

CPT 35180 can be used to describe the repair of a congenital arteriovenous fistula in the head and neck area. This code is used when the provider makes an incision to approach the fistula and repairs it.

2. Official Description

The official description of CPT code 35180 is: ‘Repair, congenital arteriovenous fistula; head and neck.’

3. Procedure

1. The provider makes an incision in the head or neck area to reach the congenital arteriovenous fistula.
2. Clamps are applied on either side of the fistula.
3. The abnormal connection between the vein and artery is cut, and the vein and artery sites are repaired with sutures.
4. A Doppler study is performed to confirm normal blood flow in the artery.
5. The surgical incision is closed in layers to prevent any hematoma.

4. Qualifying circumstances

Patients eligible to receive CPT 35180 services are those with a congenital arteriovenous fistula in the head and neck area. The procedure is performed by a provider who makes an incision to repair the fistula.

5. When to use CPT code 35180

CPT code 35180 should be used when a provider repairs a congenital arteriovenous fistula in the head and neck area. It should not be used for repairs in other areas of the body.

6. Documentation requirements

To support a claim for CPT 35180, the provider must document the following information:

• Patient’s diagnosis of a congenital arteriovenous fistula in the head and neck area
• Details of the procedure performed, including the incision, repair of the fistula, and closure of the surgical incision
• Confirmation of normal blood flow in the artery through a Doppler study
• Any complications or additional procedures performed
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 35180, ensure that the procedure is performed to repair a congenital arteriovenous fistula in the head and neck area. Use the appropriate CPT code if the repair is performed in other areas of the body.

8. Historical information

CPT 35180 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider repairs a congenital arteriovenous fistula in the head and neck area.
2. A patient undergoes a procedure to repair a congenital arteriovenous fistula in the head and neck area.
3. A congenital arteriovenous fistula in the head and neck area is repaired by a provider.
4. A repair is performed on a congenital arteriovenous fistula in the head and neck area.
5. A provider makes an incision to repair a congenital arteriovenous fistula in the head and neck area.
6. A patient receives treatment for a congenital arteriovenous fistula in the head and neck area.
7. A congenital arteriovenous fistula in the head and neck area is repaired using CPT code 35180.
8. A provider performs a procedure to repair a congenital arteriovenous fistula in the head and neck area.
9. A repair is done on a congenital arteriovenous fistula in the head and neck area.
10. A patient undergoes surgery to repair a congenital arteriovenous fistula in the head and neck area.