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37607 or 37799

Date: May 10, 2021

Question:

Patient came in and had fistula created (36830) and then the very next day developed steal syndrome and the patient returned to the OR and the graft was removed. Would you go with 37607 or unlisted 37799?

Second day: "We began by reopening the antecubital incision as well as the axillary incision. The stitches were cut, and we were quickly down to the graft. The graft was clamped right next to both arterial and venous anastomoses. It was divided and the bulk of the graft removed easily. The stumps of graft on both the artery and the vein were oversewn using a 5-0 Prolene in a running baseball style stitch. Vascular clamps were removed. We had adequate hemostasis. The incisions were irrigated and closed by reapproximating the subcutaneous tissue using running 3-0 Vicryl followed by skin closure using 4-0 Monocryl in a running subcuticular fashion. Sterile dressings were applied, and the patient was awoken and taken to the PACU in good condition."

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