tci General Surgery Coding Alert - 2004 Issue 3

Reader Question: Choose 35301 for Endarterectomy

Question: What are the proper codes for carotid endarterectomy? Washington, D.C., Subscriber Answer: The only available code for carotid endarterectomy is 35301 (Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by neck incision). The procedure serves to prevent stroke by allowing the surgeon to remove atherosclerotic plaque, which causes narrowing of blood vessels, from the carotid artery (the main artery carrying blood to the head). During the procedure, the surgeon exposes the carotid artery through an incision in the side of the neck. The surgeon clamps the artery on either side of the affected area, opens...

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