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Bypass created and ligated same operative session

Date: Feb 15, 2023

Question:

Hello! Pro-fee coding question here.

Patient came in for right iliac-to right profunda bypass. After placing the bypass graft there were complications nd the patient was bleeding and they believed the aortic clamp had damaged the distal aortic wall. To control the bleeding they placed an aortic-uni-iliac endograft and then they placed a left fem-to-right profunda bypass graft and ligated the iliac-profunda bypass.

We're looking at 35703 for aortic repair of the dissection, 35661 for the fem-fem bypass, but is there anything we can pick up for the iliac-profunda graft placement that they completed and then ligated just distal of the iliac anastomosis? 35665-52? Add a 22 to something else? or nothing at all?

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