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Thread: Axillobifemoral bypass and thrombectomies

  1. #1
    Join Date
    Apr 2007
    Greeley, Colorado

    Question Axillobifemoral bypass and thrombectomies

    AAPC: Back to School
    I am coding for the above. My quesion is, wouldn't the thrombectomies of the femoral arteries be inclusive to the bypass? According to CCI edits 35371 can be reported with mod -59, but I am hesitant to do so because I think a thrombectomy would be a necessary component for the outcome of the bypass 35654.
    Any thoughts? (and do I have the right codes?)
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Join Date
    Apr 2007
    New Delhi, India


    No, 35371 will not be coded with 35654 because it is bundled in it. While a bypass is created, a separate tunnel is given to the thrombosed artery for blood flow; making it useless. Even if a thrombectomy is done to protect the patient from embolus, it is inclusive in bypass procedure.

    Hope this helps.
    Girish Dadhich, CPC

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    Thank you! I feel more confident with your response. I am new to vascular coding so it is a learning process
    Lisa Bledsoe, CPC, CPMA

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