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Intact vascular tack for lower extrem dissection

Date: Feb 12, 2021

Question:

My surgeon placed an intact vascular tack into the proximal peroneal artery for dissection after he did angioplasty for occlusive disease. Would this be reported with an unlisted code (37799)? I am not finding information on coding interventions done on the lower extremity vessels for dissection. No aneurysms. Details are as follows: "The peroneal was angioplastied with a 3 mm balloon, there was a dissection, and intact tacks were placed in proximal peroneal. The left iliac was stented with an Absolute Pro 10 x 60 and post dilated. Completion showed excellent flow through the peroneal. The wires and catheters were removed, and the long sheaths were exchanged for short sheaths. Protamine was given for reversal. Pressure was held at all access sites."

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