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Access stent and aneurysm repair

Date: Sep 12, 2023

Question:

Patient with aneurysmal dialysis access:

After evaluating, I decided to repair with a stent graft, and I deployed a 9 x 60 mm Covera stent graft.

Following the stent graft deployment, it was dilated with a 9 mm balloon, and the pseudoaneurysm had no further pulsations after deployment of the stent graft. At this point, I decided to repair the aneurysm sac, and I performed a transverse incision over the aneurysmatic sac, dissected the sac from the subcutaneous tissues and excised the excess of sac. Then I closed with interrupted 4-0 PDS suture. Skin was approximated with interrupted 3-0 Prolene suture and skin staples.

Would you code with 36903, or 36832?

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