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Can we code 35700 if a patient had a femoral endarterectomy in a past

Date: Feb 23, 2024

Question:

Can we code an additional 35700 (with 35666) because the patient had a femoral endarterectomy a couple of years ago (same vessel), and the patient did not have bypasses in the past?

According to AAPC guidelines, 35700 is used when the provider re-operates on an arterial bypass graft more than a month after the initial procedure.

According to ZHealth Vascular Book – “Report add-on code 35700 for reoperation of extremity bypasses greater than one month after original surgery”.

Am I understanding correctly that we can code the +35700 only if the provider does the “reoperation of extremity bypasses”? Our provider wants to code 35700 because the patient had an endarterectomy in the same vessel three years ago. On Question (ID : 18040) you answered that we can. I am confused. Please clarify.

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