Ask Dr. Z

"Initially a SMA branch vessel was isolated and controlled with Silastic loops. Thromboendarterectomy was performed at this location, while there was backbleeding, was unable to pass embolectomy catheter. Vessel was closed SMA was identified distally at a branch point and proximally the vessel was dissected free for several centimeters. Transverse arteriotomy was performed with an 11 blade and extended with Potts scissors. There was no bleeding at this site. There was notable fresh clot at the arteriotomy. This was picked free with DeBakey pickups. Proximally a #4 Fogarty balloon catheter was advanced 4 times revealing fresh clot. Two clot free passes were performed and pulsatile inflow restored. A #3 Fogarty was passed down the main SMA distally with ease for around 15 cm. This was passed several times until 2 passes without clot were revealed. A large clot burden was initially extracted."

Would you code both or just the thrombectomy since that was the intent?