Ask Dr. Z

How would you code this procedure? Would you use 35045 or unlisted code 37799 where no graft or patch graft performed? "Patient was brought to the operating theater and placed in a supine position. The patient's right arm was prepped and draped in the usual sterile fashion. Once timeout was completed, we created a longitudinal skin incision overlying the pseudoaneurysm with a 15 blade. We dissected through subcutaneous tissue with electrocautery. We identified the pseudoaneurysm and dissected it out circumferentially. We dissected out proximal and distal radial artery and applied vessel loops for proximal and distal control. We then systemically heparinized the patient. We obtained proximal and distal control and then created a vertical arteriotomy with an 11 blade. Carried this cephalad and caudal with potts scissors. We retrieved some old thrombus from the sac and were able to identify small bleed from the artery where the sheath had been placed. We oversewed this with several 6-0 prolene sutures and a pledgete suture."