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Thrombectomy of right aortic limb with a Fem-Pop Bypass

Date: Aug 3, 2022

Question:

"Native common femoral artery, profunda femoris, and superficial femoral arteries were isolated as well. Distally below-the-knee calf incision was made. Dissection down to the below-knee popliteal artery using sharp dissection. A tunneler is passed between the two incisions, and the 6 mm PTFE was passed between the two incisions. Next the limb and vessels were clamped in the groin. A longitudinal graftotomy was made with Potts scissors. There was immediately encountered fresh thrombus. This was removed and irrigated. A #6 embolectomy catheter was passed up into the aortic limb with multiple passes and retrieved a large amount of fresh thrombus. There is great inflow #2 embolectomy catheter was tested on the profunda femoris vessel and clot was removed with good backbleeding. The graft was then beveled and sewn in place using 5-0 Prolene suture x2."

I know typically the thrombectomy is inclusive to the bypass graft. Since this took place in the right aortic limb, can we report codes 35656 and 37184? Or would that be considered all one continuous vessel?

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