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Right Axillary-femoral-femoral changed to axillary-femoral-iliac

Date: Jan 8, 2018

Question:

This patient has an occluded aorta resulting in non-viable left lower leg. The plan was to perform an axillary-femoral-femoral bypass prior to performing the AKA in the near future. In prepping the patient he had an ischemic ulcer high on the left thigh therefore they performed an femoral to iliac vs. femoral to femoral. This is my dilemma... because it was a planned procedure, should I code it as an incomplete axillary fem-fem 35654-52 or should an unlisted procedure code 37799 be used?

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