Position 5-7: Finalization

Innominate Artery

Select the specific approach and device combination to identify the exact billable procedure code.

Approach 0

Open

Device 9

0312090 Bypass Innominate Artery to Upper Arm Artery, Right with Autologous Venous Tissue, Open Approach

0312091 Bypass Innominate Artery to Upper Arm Artery, Left with Autologous Venous Tissue, Open Approach

0312092 Bypass Innominate Artery to Upper Arm Artery, Bilateral with Autologous Venous Tissue, Open Approach

0312093 Bypass Innominate Artery to Lower Arm Artery, Right with Autologous Venous Tissue, Open Approach

0312094 Bypass Innominate Artery to Lower Arm Artery, Left with Autologous Venous Tissue, Open Approach

0312095 Bypass Innominate Artery to Lower Arm Artery, Bilateral with Autologous Venous Tissue, Open Approach

0312096 Bypass Innominate Artery to Upper Leg Artery, Right with Autologous Venous Tissue, Open Approach

0312097 Bypass Innominate Artery to Upper Leg Artery, Left with Autologous Venous Tissue, Open Approach

0312098 Bypass Innominate Artery to Upper Leg Artery, Bilateral with Autologous Venous Tissue, Open Approach

0312099 Bypass Innominate Artery to Lower Leg Artery, Right with Autologous Venous Tissue, Open Approach

031209B Bypass Innominate Artery to Lower Leg Artery, Left with Autologous Venous Tissue, Open Approach

031209C Bypass Innominate Artery to Lower Leg Artery, Bilateral with Autologous Venous Tissue, Open Approach

031209D Bypass Innominate Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031209F Bypass Innominate Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

031209J Bypass Innominate Artery to Extracranial Artery, Right with Autologous Venous Tissue, Open Approach

031209K Bypass Innominate Artery to Extracranial Artery, Left with Autologous Venous Tissue, Open Approach

031209W Bypass Innominate Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach

031209Y Bypass Innominate Artery to Upper Artery with Autologous Venous Tissue, Open Approach

Device A

03120A0 Bypass Innominate Artery to Upper Arm Artery, Right with Autologous Arterial Tissue, Open Approach

03120A1 Bypass Innominate Artery to Upper Arm Artery, Left with Autologous Arterial Tissue, Open Approach

03120A2 Bypass Innominate Artery to Upper Arm Artery, Bilateral with Autologous Arterial Tissue, Open Approach

03120A3 Bypass Innominate Artery to Lower Arm Artery, Right with Autologous Arterial Tissue, Open Approach

03120A4 Bypass Innominate Artery to Lower Arm Artery, Left with Autologous Arterial Tissue, Open Approach

03120A5 Bypass Innominate Artery to Lower Arm Artery, Bilateral with Autologous Arterial Tissue, Open Approach

03120A6 Bypass Innominate Artery to Upper Leg Artery, Right with Autologous Arterial Tissue, Open Approach

03120A7 Bypass Innominate Artery to Upper Leg Artery, Left with Autologous Arterial Tissue, Open Approach

03120A8 Bypass Innominate Artery to Upper Leg Artery, Bilateral with Autologous Arterial Tissue, Open Approach

03120A9 Bypass Innominate Artery to Lower Leg Artery, Right with Autologous Arterial Tissue, Open Approach

03120AB Bypass Innominate Artery to Lower Leg Artery, Left with Autologous Arterial Tissue, Open Approach

03120AC Bypass Innominate Artery to Lower Leg Artery, Bilateral with Autologous Arterial Tissue, Open Approach

03120AD Bypass Innominate Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

03120AF Bypass Innominate Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03120AJ Bypass Innominate Artery to Extracranial Artery, Right with Autologous Arterial Tissue, Open Approach

03120AK Bypass Innominate Artery to Extracranial Artery, Left with Autologous Arterial Tissue, Open Approach

03120AW Bypass Innominate Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach

03120AY Bypass Innominate Artery to Upper Artery with Autologous Arterial Tissue, Open Approach

Device J

03120J0 Bypass Innominate Artery to Upper Arm Artery, Right with Synthetic Substitute, Open Approach

03120J1 Bypass Innominate Artery to Upper Arm Artery, Left with Synthetic Substitute, Open Approach

03120J2 Bypass Innominate Artery to Upper Arm Artery, Bilateral with Synthetic Substitute, Open Approach

03120J3 Bypass Innominate Artery to Lower Arm Artery, Right with Synthetic Substitute, Open Approach

03120J4 Bypass Innominate Artery to Lower Arm Artery, Left with Synthetic Substitute, Open Approach

03120J5 Bypass Innominate Artery to Lower Arm Artery, Bilateral with Synthetic Substitute, Open Approach

03120J6 Bypass Innominate Artery to Upper Leg Artery, Right with Synthetic Substitute, Open Approach

03120J7 Bypass Innominate Artery to Upper Leg Artery, Left with Synthetic Substitute, Open Approach

03120J8 Bypass Innominate Artery to Upper Leg Artery, Bilateral with Synthetic Substitute, Open Approach

03120J9 Bypass Innominate Artery to Lower Leg Artery, Right with Synthetic Substitute, Open Approach

03120JB Bypass Innominate Artery to Lower Leg Artery, Left with Synthetic Substitute, Open Approach

03120JC Bypass Innominate Artery to Lower Leg Artery, Bilateral with Synthetic Substitute, Open Approach

03120JD Bypass Innominate Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03120JF Bypass Innominate Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03120JJ Bypass Innominate Artery to Extracranial Artery, Right with Synthetic Substitute, Open Approach

03120JK Bypass Innominate Artery to Extracranial Artery, Left with Synthetic Substitute, Open Approach

03120JW Bypass Innominate Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach

03120JY Bypass Innominate Artery to Upper Artery with Synthetic Substitute, Open Approach

Device K

03120K0 Bypass Innominate Artery to Upper Arm Artery, Right with Nonautologous Tissue Substitute, Open Approach

03120K1 Bypass Innominate Artery to Upper Arm Artery, Left with Nonautologous Tissue Substitute, Open Approach

03120K2 Bypass Innominate Artery to Upper Arm Artery, Bilateral with Nonautologous Tissue Substitute, Open Approach

03120K3 Bypass Innominate Artery to Lower Arm Artery, Right with Nonautologous Tissue Substitute, Open Approach

03120K4 Bypass Innominate Artery to Lower Arm Artery, Left with Nonautologous Tissue Substitute, Open Approach

03120K5 Bypass Innominate Artery to Lower Arm Artery, Bilateral with Nonautologous Tissue Substitute, Open Approach

03120K6 Bypass Innominate Artery to Upper Leg Artery, Right with Nonautologous Tissue Substitute, Open Approach

03120K7 Bypass Innominate Artery to Upper Leg Artery, Left with Nonautologous Tissue Substitute, Open Approach

03120K8 Bypass Innominate Artery to Upper Leg Artery, Bilateral with Nonautologous Tissue Substitute, Open Approach

03120K9 Bypass Innominate Artery to Lower Leg Artery, Right with Nonautologous Tissue Substitute, Open Approach

03120KB Bypass Innominate Artery to Lower Leg Artery, Left with Nonautologous Tissue Substitute, Open Approach

03120KC Bypass Innominate Artery to Lower Leg Artery, Bilateral with Nonautologous Tissue Substitute, Open Approach

03120KD Bypass Innominate Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03120KF Bypass Innominate Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03120KJ Bypass Innominate Artery to Extracranial Artery, Right with Nonautologous Tissue Substitute, Open Approach

03120KK Bypass Innominate Artery to Extracranial Artery, Left with Nonautologous Tissue Substitute, Open Approach

03120KW Bypass Innominate Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach

03120KY Bypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach

Device Z

03120Z0 Bypass Innominate Artery to Upper Arm Artery, Right with No Device, Open Approach

03120Z1 Bypass Innominate Artery to Upper Arm Artery, Left with No Device, Open Approach

03120Z2 Bypass Innominate Artery to Upper Arm Artery, Bilateral with No Device, Open Approach

03120Z3 Bypass Innominate Artery to Lower Arm Artery, Right with No Device, Open Approach

03120Z4 Bypass Innominate Artery to Lower Arm Artery, Left with No Device, Open Approach

03120Z5 Bypass Innominate Artery to Lower Arm Artery, Bilateral with No Device, Open Approach

03120Z6 Bypass Innominate Artery to Upper Leg Artery, Right with No Device, Open Approach

03120Z7 Bypass Innominate Artery to Upper Leg Artery, Left with No Device, Open Approach

03120Z8 Bypass Innominate Artery to Upper Leg Artery, Bilateral with No Device, Open Approach

03120Z9 Bypass Innominate Artery to Lower Leg Artery, Right with No Device, Open Approach

03120ZB Bypass Innominate Artery to Lower Leg Artery, Left with No Device, Open Approach

03120ZC Bypass Innominate Artery to Lower Leg Artery, Bilateral with No Device, Open Approach

03120ZD Bypass Innominate Artery to Upper Arm Vein with No Device, Open Approach

03120ZF Bypass Innominate Artery to Lower Arm Vein with No Device, Open Approach

03120ZJ Bypass Innominate Artery to Extracranial Artery, Right with No Device, Open Approach

03120ZK Bypass Innominate Artery to Extracranial Artery, Left with No Device, Open Approach

03120ZW Bypass Innominate Artery to Lower Extremity Vein with No Device, Open Approach

03120ZY Bypass Innominate Artery to Upper Artery with No Device, Open Approach