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Condensed version: Physician states, "It was thought at the time that a fem-fem bypass would be required. A PTFE graft was tunneled appropriately the proximal fem-fem was created on the left. Attention was now turned to the right groin, and arteriotomy was obtained. Using a Fogarty catheter, thrombectomy was performed of a large amount of thrombus and was removed until backbleeding was achieved. The PTFE was turned into a patch, and the patch was used to close the arteriotomy. In the left groin the proximal anastomosis was cut, and the PTFE was turned into a patch angioplasty as well." In this case would you only code the patch angioplasty and not for the intended PTFE even though it was placed? The ultimate result was a right thrombectomy and a left patch angioplasty.