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HeRO Graft ligated and left in place, new tunneled cath

Date: Jul 7, 2020

Question:

"HeRO graft placed two weeks prior. Patient developed steal syndrome. The radial artery was occluded. The graft was doubly ligated with silk sutures and left in place. This wound closed. He re-opened outflow catheter and harvested it. He then tunneled a new 23 cm catheter through the counter incision, placed peel away sheath over the wire, removed the wire and inner dilator, and placed the catheter through the sheath." How would I code this?

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