Ask Dr. Z

Would it be appropriate to bill multiple endarterectomies in this case through one incision? "Anterior common femoral arteriotomy was made and carried proximally. Endarterectomy with freer elevator of common femoral artery was performed with patch angioplasy. Profunda did not back bleed. Profunda was opened and endarterectomy performed of anterior branch into ostium of posterior branch with patch angioplasty. SFA was explored in the first portion. Foreign body Angioseal was removed from SFA. Endarterectomy of first portion of SFA with patch angioplasty was done on SFA as well." Could we code 35302, 35372, 35371 with separate arteriotomies and patch angioplasties? Would foreign body removal be bundled into the endarterectomies?