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When to code percutaneous vs open ECMO procedure

Date: Jan 14, 2020

Question:

Encounter 1: the surgeon did percutaneous insertion (over 6 years in age) into the common femoral artery and femoral vein. The next day (Encounter 2) they do groin cutdown and expose both artery and vein. They decannulate both vessels and perform patch repair on both vessels. Do I code 33952 (percutaneous) for the first encounter and 33984 (open) for the removal and repair of the femoral blood vessels? 

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