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Ax-Fem then Fem-Fem

Date: Nov 20, 2019

Question:

If the doctor does an ax-fem graft with Propaten and then a fem-fem bypass graft with cadaver vein, would you combine these and bill 35654 since they are both non-vein? Or should an ax-bi-fem be made of one graft in order to bill 35654? I see no edits when billing it as two separate grafts (35621 and 35661), but it feels like it should be bundled to one code. 

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