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35860

Date: Feb 27, 2019

Question:

I received a denial for codes 35860-RT and 35860-LT. Bilateral surgery indicator 0. I see this now, but how would I code the following procedure? "Patient had undergone coronary intervention and was noted to have enlarging hematomas in the LT and RT groin. Incision made in LT groin and dissection carried down to enter large hematoma. Active bleeding was encountered at this point in time, and dissection was carried down further to expose common femoral artery. This was corrected by interrupted prolene suture. Hematoma was also drained. RT groin incision was performed and dissection carried down to enter large hematoma. There was once more active bleeding encountered. Dissection was carried down to expose the common femoral artery. It was noted the patient had active ongoing bleeding from a puncture site. This was also corrected with a 6-0 Prolene and wound irrigated. Hematoma was also drained. Bilateral drains placed in thighs and connected to bulb suction by means of silk suture. Wounds irrigated and closed in double layered fashion." Am I coding this incorrectly?

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