Ask Dr. Z

Would this scenario be reported with codes 33533, 33510, 33518, and 33508-XU?

"The provider harvested the saphenous vein endoscopically. A segment of reverse saphenous vein was then anastomosed to the obtuse marginal with 7-0 Prolene suture in an end-to-side fashion. There was a small segment of visual saphenous vein that was of adequate caliber. This was anastomosed to the LAD at this level in an end-to-side fashion. The obtuse marginal proximal was then performed of the ascending aorta with a 6-0 Prolene suture in an end-to-side fashion. There was only a small segment of saphenous vein that was anastomosed to the LAD, and so, therefore, this was taken off of that vein graft in an end-to-side manner in a vein-to-vein anastomosis. The mammary artery was then anastomosed to the saphenous vein that goes to the LAD, approximately 1 cm from the anastomosis, with 7-0 Prolene suture in an end-to-side manner."