Wiki Laparotomy AAA repair

dpumford

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How would you bill a Laparotomy AAA repair. I have not ever seen one done with that approach.

A midline Laparotomy was carried out. The duodenum was freed to the rt side and a hematoma was entered just inferior to the left renal vein. There was some bleeders from the mesenteric veins, which were secured.

The abdominal aortic aneuysm was opened up. The proximal end was freshened and to this was anastomosed to a 243 mm Intergard dacron graft in and end to end fashion.

InterGard graft was placed over it. The iliac vessels were then freshened and plaques were removed. Graft was fashioned accordingly to the iliac etc etc.

Any ideas or do I just go with 34802 with no placement codes or cutdown?

Thanks in advance:eek:
 
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