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Trauma Patient Vessel Repair

Date: Dec 15, 2020

Question:

"Trauma patient had injury to an upper extremity. Axillary artery was repaired with harvested GSV interposition. Cephalic vein in same extremity was injured and bleeding, so vein was sutured."  I came up with 35236 for repair of axillary artery with vein graft and 35206 for suture repair of cephalic vein. There is an edit against 35236 when coded with 35206, so I am looking at 35236-XS (59), 35206-51 (billing pro-fee and 35236 has higher wRVU). Can I not code for both even though two separate vessels repaired in two different ways?

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