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Official Description

with repair by anastomosis or graft (List separately in addition to code for primary procedure)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 61612 refers to a specific surgical procedure involving the carotid artery, which is a major blood vessel supplying blood to the brain. In this procedure, the physician performs an intervention that includes either the reattachment of two separated segments of the carotid artery or the use of a graft, which is a piece of tissue taken from another part of the body. This repair method is crucial in restoring proper blood flow after the artery has been cut or tied off, typically due to a blockage or other vascular issues. The term 'anastomosis' refers to the surgical connection of two structures, in this case, the ends of the artery, while 'graft' indicates the use of additional tissue to facilitate the repair. This procedure is often performed in conjunction with other primary surgical interventions, and it is important to note that this code should be listed separately in addition to the code for the primary procedure performed during the same surgical session.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 61612 is indicated for specific conditions affecting the carotid artery. These indications may include:

  • Carotid Artery Occlusion - A blockage in the carotid artery that impedes blood flow to the brain, potentially leading to ischemic events.
  • Carotid Artery Aneurysm - An abnormal bulging or dilation of the carotid artery that may pose a risk of rupture or thrombosis.
  • Trauma to the Carotid Artery - Injury to the artery that necessitates surgical intervention to restore vascular integrity and function.

2. Procedure

The procedure for CPT® Code 61612 involves several critical steps to ensure the successful repair of the carotid artery. These steps include:

  • Step 1: Accessing the Carotid Artery - The surgeon begins by making an incision in the neck to access the carotid artery. This step is crucial for visualizing the artery and preparing for the repair.
  • Step 2: Cutting or Tying Off the Artery - The physician then cuts or ties off the carotid artery in the space between the brain and the temple. This action is often necessary to manage the underlying condition affecting the artery.
  • Step 3: Repairing the Artery - After the artery has been cut, the surgeon repairs it by either reattaching the two separated segments through anastomosis or by using a graft. If a graft is used, it is harvested from another part of the patient's body and then sutured into place to restore continuity of the blood vessel.
  • Step 4: Closing the Incision - Once the repair is complete, the surgeon carefully closes the incision in the neck, ensuring that the area is properly sutured to promote healing.

3. Post-Procedure

After the procedure associated with CPT® Code 61612, patients typically require monitoring for any complications related to the surgery. Post-procedure care may include managing pain, monitoring for signs of infection, and ensuring proper blood flow to the brain. Patients may also need to follow specific instructions regarding activity restrictions and medication management to support recovery. Follow-up appointments are essential to assess the success of the repair and to monitor the patient's overall vascular health.

Short Descr TRANSECT ARTERY SINUS
Medium Descr TRNSXJ/LIG CRTD ART PETROUS CANAL RPR ANAST/GRF
Long Descr with repair by anastomosis or graft (List separately in addition to code for primary procedure)
Status Code Active Code
Global Days ZZZ - Code Related to Another Service
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply to this procedure...
Co-Surgeons (62) 1 - Co-surgeons could be paid, though supporting documentation is required...
Team Surgery (66) 2 - Team surgeons permitted; pay by report.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P1G - Major procedure - Other
MUE Not applicable/unspecified.
CCS Clinical Classification 59 - Other OR procedures on vessels of head and neck
Date
Action
Notes
2019-01-01 Deleted Code deleted
2011-01-01 Changed Short description changed.
1994-01-01 Added First appearance in code book in 1994.
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