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Thrombectomy with repair verses endarterectomy

Date: May 24, 2023

Question:

Would you code this with 35355 even though there's no mention of endarterectomy? I am thinking this is more of a repair of CFA with thrombectomy open of EIA. I appreciate your expertise!

"Patient had recent TEVAR and now has thrombus in EIA. Arteriotomy over CFA with control of vessels. Fogarty for thrombectomy retrieved clot in the left EIA. With back bleed we noticed intimal injury on posterior wall of CFA, which we thought was the culprit for thrombosis. This may have been secondary to sheath placement for TEVAR. A bovine patch was brought into the field and placed in standard fashion/ anastomosis. Duplex should injury was not flow liming after patching. The one arteriotomy was closed." 

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