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Open small AAA repair w/aorto-bifemoral bypass graft

Date: Feb 13, 2024

Question:

I coded: 35081, 35371-50. I feel like I am not accurately coding for the femoral graft procedures. Open aortic exposure performed w/vessel control. Aortotomy made w/removal of thrombus and plague. Dissection carried down to the aortic bifurcation and RT & LT CIA arteries. Blunt dissection used from femoral incision up to retroperitoneum. Dacron graft applied end graft to end aortic anastomosis. Left femoral arteriotomy made & extended in CFA down to SFA, 1-2 cm. Endarterectomy performed. Left limb of graft approximate to arteriotomy. Right femoral arteriotomy performed, extended 2-3 cm into SFA. Endarterectomy performed. Graft applied end to side. Fogarty embolectomy performed, 5 passes, due to no backbleed from SFA. Anastomosis completed, flow reestablished to femoral vessels. Fascia closed. Femoral incisions closed. Am I missing a code or is there a more appropriate code?

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