PREOPERATIVE DIAGNOSIS: AV fistulas in left femoral-tibial in situ bypass graft.

POSTOPERATIVE DIAGNOSIS: AV fistulas in left femoral-tibial in situ bypass graft.

PROCEDURE PERFORMED: Left AV fistula ligation x3.

PROCEDURE: The patient was placed on the operating room table in supine position. After
adequate level of IV sedation, the left leg was prepped and draped in normal sterile
fashion. Ultrasound was undertaken. He had four fistulas identified - one was small at
the knee which I decided to not repair The other fistulas were marked. Local anesthesia wa
instilled. Dissection was carried down to the two in the high thigh, and the largest w
ligated with a 2-0 silk tie and clip and the smaller was clipped with a Hemoclip. The
deep tissues were closed. The skin was close in subcuticular fashion. Steri-Strips and
sterile dressings were applied. The last AV fistula in the calf was then identified.
Dissection was carried down, blunt and sharp dissection in like fashion. It was
controlled with clip. Then the closure was identical to that above.


What code would you use? I like 37607 just not sure of the wording.

Thank you.