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Endartectomy with iliac stenting

Date: Jan 13, 2022

Question:

For the following, are codes 35371, 37221, and 37223 correct?

"Evaluation of CFA showed complete occlusion w/ thrombus. I first passed the #5 fogarty embolectomy catheter into the EIA until there were no more clots. there was minimal flow into the CFA. The Freer elevator was then used to remove the CFA plaque. We went ahead and sewed the bovine pericardial patch in rifampin and sewed this with a 5-0 Prolene sutures. I then punctured the middle of patch with a 16-gauge needle and passed the storq wire into the aorta. confirmed this with fluoro. A 7 French sheath was advanced into the common femoral. An omni catheter was advanced into distal aorta. An aortogram with bilateral iliofemoral angiogram was obtained. This demonstrated occlusion of the EIA at the origin. The IIA was open but stenotic at the origin. There was stenosis of about 30% at the distal left CIA. I marked the area of occlusion and predilated with 7x80mm balloon. I placed 8mmx5cm stent from the top of the CFA patch into left EIA. I placed 8x59 omnilink to overlap that into the distal iliac to preserve the hypogastric."

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