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Return to OR for Compromise of AAA Graft Limb and Thrombectomy

Date: May 8, 2013

Question:

Patient had AAA graft earlier in the day with bilateral cutdown. Patient started complaining of limb and back pain. Returned to OR. Re-opened bilateral cutdowns. Embolectomy of iliac artery and aorta. There was narrowing of the left limb of graft at level of aortic bifurcation. Decided to place kissing stents. Repair of femoral arteries. So, they placed kissing stents inside the AAA graft. Would this be billable with codes 34825/34826 or 37221- 50?  Also, can we bill for code 34201 since it was the original treatment option with a decision to place stents?

Question ID : 4842
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