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35571

Date: Dec 23, 2022

Question:

I am wondering if the below would be considered two graft placements or just one initial graft placement?

Would the below be coded as: 35571 only, 35571-22, or 35571, 35571-59?

Physician harvested the patient's saphenous vein and anastomosed it in an end to end fashion to the popliteal artery, then tunneled the graft to the anterior tibial artery and anastomosed in an end to side fashion completing the popliteal-anterior tibial bypass. The physician then thrombectomized the TP trunk and posterior tibial artery and soft sludge of thrombus was extruded. The physician then decided to take another section of the saphenous vein graft and attached one end to the mid-saphenous vein bypass and the other end to the tibial peroneal trunk.

Not sure if this would be considered a single graft placement, or a single graft placement where they turned it into a branched bypass graft, or if it would be considered two separate graft placements.

Thank you for your help.

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