CPT® Code 35626

The CPT® Code 35626 refers to a surgical procedure known as a bypass graft, specifically involving the aortosubclavian, aortoinnominate, or aortocarotid arteries. This procedure is performed using materials other than a vein to create a bypass around a diseased or obstructed segment of the subclavian or carotid artery. The primary goal of this intervention is to restore adequate blood flow to the affected areas, which may be compromised due to conditions such as atherosclerosis or other vascular diseases. In the case of an aortocarotid artery bypass, the surgeon makes an incision on the side of the neck to access the common carotid artery, carefully dissecting surrounding soft tissues while preserving vital nerves and veins. For aortosubclavian or aorto-innominate artery grafts, access may be achieved through a supraclavicular incision or via a median sternotomy, allowing for direct exposure of the aorta and the affected artery. The procedure involves creating a tunnel from the aorta to the artery in question, selecting and preparing a synthetic graft, and meticulously suturing it to both the aorta and the artery to ensure proper blood flow. Post-surgery, the integrity of the graft is verified through Doppler ultrasound and evaluation of distal pulses, ensuring that the bypass is functioning correctly and that blood circulation is restored effectively.