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Position 5-7: Finalization

Internal Carotid Artery, Left

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

Approach 0

Open

Device 9

031L09J Bypass Internal Carotid Artery, Left to Extracranial Artery, Right with Autologous Venous Tissue, Open Approach
031L09K Bypass Internal Carotid Artery, Left to Extracranial Artery, Left with Autologous Venous Tissue, Open Approach

Device A

031L0AJ Bypass Internal Carotid Artery, Left to Extracranial Artery, Right with Autologous Arterial Tissue, Open Approach
031L0AK Bypass Internal Carotid Artery, Left to Extracranial Artery, Left with Autologous Arterial Tissue, Open Approach

Device J

031L0JJ Bypass Internal Carotid Artery, Left to Extracranial Artery, Right with Synthetic Substitute, Open Approach
031L0JK Bypass Internal Carotid Artery, Left to Extracranial Artery, Left with Synthetic Substitute, Open Approach

Device K

031L0KJ Bypass Internal Carotid Artery, Left to Extracranial Artery, Right with Nonautologous Tissue Substitute, Open Approach
031L0KK Bypass Internal Carotid Artery, Left to Extracranial Artery, Left with Nonautologous Tissue Substitute, Open Approach

Device Z

031L0ZJ Bypass Internal Carotid Artery, Left to Extracranial Artery, Right with No Device, Open Approach
031L0ZK Bypass Internal Carotid Artery, Left to Extracranial Artery, Left with No Device, Open Approach
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Data updated for October 2025 release.

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