CPT® Code 35612

The CPT® Code 35612 refers to a surgical procedure known as a bypass graft, specifically a subclavian-subclavian bypass graft, which is performed using materials other than vein. This procedure is indicated for patients who have a diseased or obstructed proximal subclavian artery, necessitating the creation of a bypass to restore adequate blood flow. The bypass graft serves to reroute blood around the affected area, thereby addressing issues related to the contralateral (opposite) subclavian artery. The surgical approach involves making an incision at the base of the neck, just above the clavicle, to expose the first subclavian artery. A similar incision is made on the opposite side to access the second subclavian artery. A tunnel is then created across the chest to facilitate the placement of a synthetic graft, which is carefully selected and prepared for the procedure. The graft is sutured to both subclavian arteries, ensuring that blood flow can be restored effectively. The procedure is monitored for patency using Doppler ultrasound, and distal pulses are evaluated to confirm successful blood flow through the newly established bypass graft.