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Takedown of infected axillary-fem-fem bypass; axillary only

Date: Dec 15, 2020

Question:

"A patient has an infected left axillary-fem-fem bypass. The surgeon creates a right axillary PTFE graft and attaches it to the existing fem-fem bypass, thereby creating a new axillary-fem-fem bypass. Surgeon then proceeds to take down the left axillary bypass, which is infected. But, only the axillary graft is removed." Surgeon wants to report 35654 for new PTFE axil-fem-fem and 35907 for removal of axillary graft. Is this appropriate since the fem-fem portion was not removed, only a new anastomosis from the axillary to the right femoral graft was added?

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