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Extensive Op....

  1. #1
    Default Extensive Op....
    Medical Coding Books
    Extensive right external iliac, right common femoral, right profundus femoris and superficial femoral thromboendarterectomy with 2 bovine patch graft insertions and bovine patch angioplasty.

    Patient is 100 days post uncomplicated carotid endaraterectomy, now with severe right lower extremity ASO w/ claudication.

    Procedure above performed....

    Any insight on what all to capture for this procedure?

    Approach: longitudinal incision made over the common femoral artery below the inguinal ligament.

    Thanks,
    Ang

  2. #2
    Location
    Richardson, TX
    Posts
    823
    Default
    Quote Originally Posted by Angela Andersen View Post
    Extensive right external iliac, right common femoral, right profundus femoris and superficial femoral thromboendarterectomy with 2 bovine patch graft insertions and bovine patch angioplasty.

    Patient is 100 days post uncomplicated carotid endaraterectomy, now with severe right lower extremity ASO w/ claudication.

    Procedure above performed....

    Any insight on what all to capture for this procedure?

    Approach: longitudinal incision made over the common femoral artery below the inguinal ligament.

    Thanks,
    Ang
    I would bill 35372 for the Profunda Femoral and 35351 for the External Iliac. Dx: 440.21.

    Now, per Dr. Z you can bill per vessel treated, however, these lesions MUST be non-contiguous to code for more than one. If you feel that based on the dictation that each vessel was separate and non-contiguous, you can bill for 35371 as well with a modifier 59.
    Julie Graham, BA, CPC, CCC

  3. #3
    Default
    Thanks Julie.

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