tci General Surgery Coding Alert - 2010 Issue 3

Reader Question: Inventory Steps for Arcuate Ligament Syndrome

Question: The surgeon performed an open celiac artery dissection with lysis of the arcuate ligament for a patient with entrapment of the celiac artery and arcuate ligament syndrome. What are the correct diagnosis and procedure codes for this case? Vermont SubscriberAnswer: Because CPT does not provide codes that specifically describe treatment for arcuate ligament syndrome or lysis of the arcuate ligament, recommending coding is difficult without seeing the actual operative report. That said, with the information available, we know that, typically, arcuate ligament syndrome includes compression of both the celiac artery and the celiac ganglia. Consider listing 35761 (Exploration...

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