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Suture repair of dehisced femoral bypass patch graft

Date: Oct 13, 2023

Question:

Diagnosis - Pseudoaneurysm, left femoral artery /Dehiscence of the pericardial patch from femoral artery.

Dictation: I made a left flank incision to obtain retroperitoneal control of the left limb of an aortobifemoral graft. I dissected out the left limb of an aortobifemoral graft and was able to put a spring clamp on the left limb of the aortofemoral graft. I then proceeded to remove sutures from a left groin wound. I evacuated all the clots and there was a hemorrhage. On exploration, it appeared that about 25% the pericardial patch had dehisced from the left common femoral artery. I then proceeded to re-suture it with a 5-0 Prolene and ran several sutures along that anastomosis at the site where it had dehisced several interrupted sutures. After I placed the sutures and removed the clamps, it appeared that the bleeding was controlled.

Would this procedure be coded to revision of graft 35883 or would 35141 be more appropriate. Thanks for your help.

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