tci General Surgery Coding Alert - 2004 Issue 10

You Be the Coder: Thrombectomy and Artery Repair Go Together

Question: The surgeon performed a repair of a pseudoaneurysm of the right iliac artery using a bypass graft. He performed multiple thrombectomies before he was able to re-establish good blood flow. Does the bypass code include the thrombectomies or should I code them separately?Maryland Subscriber Answer: All of the aneurysm repair codes (which also include repair of pseudoaneurysms) also include any work the physician needs to complete to re-establish the flow of blood after the repair is made. In this example, you should report 35131 (Direct repair of aneurysm, pseudoaneurysm, or excision [partial or total] and graft...

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