Please note this question was answered in 2021. The coding advice may or may not be outdated.
Is Thoracic Duct ligation 38380 reportable as described here with 35694?
Question:
Is thoracic duct ligation (38380) reportable as described here with 35694?
"Indications: Dissection, proximal descending thoracic aortic aneurysm. Left SCA to carotid artery transposition performed. Metzenbaum scissors used to enter carotid sheath. IJ vein mobilized and retracted laterally. The left CCA dissected and mobilized. The left SCA identified and dissected proximally to the arch and distally to vertebral take off. The thoracic duct was noted overlying the vessel along with the vertebral vein, and both were controlled with clips and ties. A right angle clamp was placed proximally and a profunda clamp distally proximal to the vertebral artery takeoff on the left SCA and it was divided ~3-5 mm distal to right angle clamp. The proximal end was then oversewn with double layer of running 5-0 prolene suture and reinforced with a 5-0 prolene pledgeted suture with the proximal right angle clamp removed and hemostasis noted. The left SCA noted to have adequate length to reach the left carotid artery. The left carotid artery was clamped proximally and distally, opened on posterior lateral aspect of the vessel. A 6-0 prolene running suture was then used to anastomose the arteries."
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