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Question:
Hi Dr Z, my physician performed an open repair of a bilobar 4.3-4.5 cm inflammatory AAA. This was a very complex case and required division of the left renal vein, control of the aorta above the renal arteries and control of both renal arteries. My question is regarding interpretation of the CPT definitions between 35081 and 35091. Is 35091 only to be used when there is aneurysmal and/or occlusive disease of the involved visceral vessels? Or is the sheer involvement of them in the repair sufficient for that code? I appreciate your insight on this matter!
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