CPT code 35180 identifies surgical repair of a congenital arteriovenous fistula in the head and neck. This code captures a focused vascular surgical approach to correct abnormal arterial-to-venous connections present at birth, typically performed in an operating room or ambulatory surgical center. Nationally, accurate use of this CPT code supports appropriate clinical documentation, procedure classification, and payment for complex head and neck vascular procedures.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications and the typical setting for this service, plus guidance on common payer coverage expectations where available. The publication outlines benchmarks for coding and utilization, highlights relevant policy considerations that affect authorization and payment, and situates the procedure within broader vascular and head-and-neck surgical care pathways.

This summary is intended for clinicians, coding professionals, and policy analysts seeking a clear description of the code, its clinical context, and the payer landscape at a national level. Data not available in the input will be noted in the detailed sections of the full publication.