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Removal of broken tunneled CVA with port

Date: Aug 19, 2011

Question:

Greetings, How would gou code the removal of a broken tunneled CVA with port? The physician had to perform a cutdown to remove part of the cath and he also removed the port from the pocket. The physician then repaired the jugular vein. Would you code 35201 and 36590? It seems like a repair would be bundled. I thought about 22 and also about a unlisted code and base the RVU on the cutdown code but I just don't know. Any ideas? Thanks, LW

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