Ask Dr. Z

Is 35883 or 35876 be more appropriate? Maybe 35883, 34203, 35371 for this case? "We began by opening up the left groin incision and removing the previous sutures. We then gained control of the CFA, profunda, SFA, and the bypass graft. We opened up the proximal portion of the graft. We identified acute thrombus within the lumen of the bypass graft. We also ID what appeared to be an obstructing flap in the LT CFA. We, at this point, decided to make an incision over the entire CFA and performed revision bypass angioplasty. We extended it proximally towards the inguinal ligament. We then confirmed there was a large flap within the lumen itself that was causing the obstruction. Endarterectomy of the entire CFA was performed. When then took a 0.8 x 8 mm bovine pericardial patch graft and performed patch angioplasty. We then reopened the distal incision above the knee, ID the distal graft, and gained control of the pop. A graftotomy was made and using a Fogarty catheter thrombus was removed from the entire graft and the SFA and then distally to the tibial vessels."