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35556 vs. 35151

Date: Dec 31, 2014

Question:

"Patient has aneurysmal development of the distal SFA in above- and below-knee popliteal arteries. Doctor performed left distal superficial femoral artery to below-knee popliteal artery bypass using non-reversed transposed greater saphenous vein, ligation of below-knee popliteal artery, and ligation of above-knee popliteal artery with plication of popliteal aneurysm." Would code 35556 be more appropriate than 35151 due to involvement of SFA and popliteal? The physician also advised ligation would not normally be included. Do we need to report code 37618 x 2?

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