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CPT 37600: External Carotid Artery Ligation, Neck
CPT code 37600 covers open surgical ligation of the external carotid artery via a neck incision, most commonly performed for carotid artery aneurysm management. This code denotes a definitive vascular procedure that has implications for operative planning, facility resource use, and national surgical volumes for head and neck vascular interventions. It is pertinent for hospitals, independent surgical centers, and payers managing high-acuity vascular cases.
Key payers discussed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise overview of the code’s clinical context, typical settings of care, and common billing considerations. The publication presents payment benchmarks and utilization patterns where available, summaries of relevant policy or coverage guidance that affect claim adjudication, and procedural coding considerations tied to operative documentation.
The report is intended to help billing managers, coders, and health policy analysts understand the clinical intent of CPT code 37600, compare coverage and payment approaches across major payers, and align documentation practices with coding requirements. Data not available in the input is noted when applicable.
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Billing Code Overview
CPT code 37600 describes the surgical incision of the neck to locate and ligate the external carotid artery using a suture or clip. The procedure is most commonly performed to treat a carotid artery aneurysm and involves open vascular surgery of the neck.
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Service type: Open surgical vascular procedure
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Typical site of service: Inpatient or outpatient hospital operating room (surgical suite)