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Coronary Artery Bypass grafts with Vein and LIMA

Date: Oct 15, 2018

Question:

I have a strange scenario, and I'm not sure how to code. Patient was in for a CABG. Vein bypasses were sewn to the RC, OM1, OM2, and then to the LAD. Next the doctor sewed the LIMA to the vein graft that went to the LAD. So would this be four veins and one artery (33533 and 33521), or would this be three veins and one artery (33533 and 33519)?

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