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Deep Vein Arterialization

Date: Dec 15, 2020

Question:

How would you code a deep vein arterialization procedure? The procedure is described as a bypass with the proximal anastomosis with an in situ vein, and there is not a distal anastomosis. Vein valves are lysed. This is to cause the distal vein from the anastomosis to become arterialized (fistula?). Would it be appropriate to report the bypass code 35587 alone or 35587-52 (for the single anastomosis) with add-on code 35686?

Question ID : 14725
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