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Hi Dr Z, I hope you can help me with this coding question. I realize that the TAVR is coded with 0256T. Would it be appropriat to charge for the femoral cutdown with 34812? What about the subclavian cutdown for the bypass and can we charge for the temp pacer? PROCEDURE: Transfemoral aortic valve replacement (TAVR) Procedures: Femoral artery and vein sheath insertions retrograde. Left common femoral artery surgical exposure and cutdown for vascular access. Placement of a 5 French transvenous temporary pacing electrode right ventricular apex via right femoral venous access. Initiation of cardiopulmonary bypass via right subclavian artery and left femoral vein. Implantation of a transfemoral aortic valve (TAVR). Application of a vascular hemostasis closure device (Angio-Seal), right common femoral artery. Thanks for any help you can provide.