Please note this question was answered in 2020. The coding advice may or may not be outdated.
Thoracofemoral Bypass
Date: Jun 23, 2020
Question:
Would we use code 35646 with -22 modifier or code 35654? Procedure will be thoracotomy and sew the proximal 8 mm graft onto aorta with a side biter. It is a bifrucated graft. It is then tunneled out of chest wall and vascular surgeon does the fem-fem distal anastomoses.
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