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35682, 35500, 35566

Date: May 19, 2014

Question:

Patient had a left fem-tib bypass. Right saphenous vein, right basilic vein, and left accessory saphenous vein were harvested. Can you offer insight on the appropriate coding? It is my understanding that the harvest of the saphenous vein from the same or opposite leg is included and any harvest of vein within the bed you are working is included in the bypass. Would I just code for the bypass (35566) and the harvest of the basilic vein (35500)? I am receiving conflicting information and would appreciate your opinion.

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