Ask Dr. Z

Greetings, A patient had a axillary bifemoral graft. It develops a ruptured aneurysm at the axillary anastomosis. The physican removes the axillary graft from the right side and creates a new anastomosis on the left then takes the new graft across the chest wall and transects the distal rt femoral anastomosis and attaches a new graft to the end stump of the old graft. He also performs a bovine patch to the right axillay artery where the original graft was attached. The physicaian coded 35013 and 35881. Im thinking this should be a 35621 as it was moved to the left side, and 35013. What do you think? LW