Ask Dr. Z

This is a FEVAR with a right iliac dissection and a left distal iliac avulsion. "RCIA dissection was treated using LT radial approach & RCF access for through/through access across LT iliac occlusion. From the LT sheath angioplasty was performed to the LCIA/LEIA - allowing access for sheath. 3 vessel FEVAR (34847) performed. With placement of LT iliac limb, avulsion is revealed and the decision was made to place conduit- subsequently LCIA & LEIA overlapping stents were placed to previous iliac limb and brought down to the groin incision. Placed RT ipsilateral extension (or limb?) terminating within the REIA beyond the level of known occlusion. Returned to LCF to perform endarterectomy-endpoint was created. Next, a Viabahn graft was trimmed to size to allow end-to-end anastomosis with the LCFA." We weren’t sure if we could bill 37221 for the stents on the LEFT. Also, for the avulsion on the LEFT, 35371-endarterterecomy with graft included or would it be 35286 blood vessel repair with graft?