I wouldn't bill for the cannulation or repair of the axillary artery because this was done in order to put the patient on cardiopulmonary bypass and therefore not separately billable.
I question the documentation in regards to one thing. The title says that the aortic root was replaced, which would be CPT 33863 rather than the 33860 + 33405. However, when the surgeon does replace the root, he usually states that the new valve was sewn into the bottom of the new aortic graft, which this note does not say.
Its up to you but I would confirm with the surgeon whether he really replaced the root or just the valve. Had he written that the ascending aorta was dissected above the sinotubular junction, I would think your codes are right but since its not clear, I would probably questioned him for clarification.
Hope that helped & didn't make things more confusing
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