Ask Dr. Z

Would you report the following with code 33992 or 35206 ?

"The Impella device support was weaned without significant change in left ventricular function on transesophageal echocardiogram. The right axillary incision was reopened using a combination of electrocautery and sharp dissection. The graft was exposed. The Impella device was freed from its securing sutures and removed. The graft was ligated using several heavy sutures and the end oversewn with a 5-0 prolene stitch. The incision was irrigated thoroughly with antibiotic solution. The incision was closed in layers and the skin approximated with staples. The previous exit site of the Impella was packed with iodoform gauze."