tci General Surgery Coding Alert - 2023 Issue Q1

Reader Questions: Drill Down to Dx Specifics for Thromboendarterectomy Case

Question: Our vascular surgeon performed a right popliteal endarterectomy for a patient with stenosis. What is the correct procedure and diagnosis coding for the case? Utah Subscriber Answer: The appropriate procedure code is 35303 (Thromboendarterectomy, including patch graft, if performed; popliteal artery). Choosing the correct diagnosis code requires some anatomy and medical terminology knowledge, and a little more detail about the condition. First, you need to know that the popliteal artery is a distal continuation of the femoral artery running behind the knee. That takes you away from the codes that specifically list “stenosis” of other arteries, such...

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