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Thrombectomy w/o endarterectomy

  1. Default Thrombectomy w/o endarterectomy
    Medical Coding Books
    I am posting this for a friend who is starting to do these types of procedures. I am not experienced in this. Can anyone help?
    Thank you,


    Here is the report.

    Thrombectomy w/o endarterectomy of the right iliac, profunda femoris, tibioperoneal trunk, anterior and posterior tibial.

    Thrombectomy with endarterectomy of the right common femoral and mid superficial femoral artery.

    Three compartment fasciotomy of the right leg.

    I just don't know if I should be using the 353xx codes for all or just the rt common and superficial femoral and then use the thrombectomy only codes for the rest. I wish I had more experience in the open procedures, all I have had have been percutaneous and do I code the fasciotomy or is that included?? It did not bundle when I ran my coding software but that doesn't always mean anything.
    Theresa CCS-P CPMA CCC ICDCT-CM

  2. #2
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    is it a mechanical thrombectomy 37184?
    Jenifer McPolin CPC, CPMA, RCC

  3. Default
    Quote Originally Posted by jmcpolin View Post
    is it a mechanical thrombectomy 37184?
    thanks for the response. I do not believe it is. For interventional cardiology we use 37184 so she would know that. Assuming it isnt, what are the codes she should be looking at?
    Theresa CCS-P CPMA CCC ICDCT-CM

  4. #4
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    Well I think the only other codes for thrombectomy and endarterectomy are the 353 codes assuming he is making and incision to clear the thrombus or plaque
    Jenifer McPolin CPC, CPMA, RCC

  5. Default
    Quote Originally Posted by jmcpolin View Post
    Well I think the only other codes for thrombectomy and endarterectomy are the 353 codes assuming he is making and incision to clear the thrombus or plaque
    Yes I believe so too here are her questions.thanks

    I just don't know if I should be using the 353xx codes for all or just the rt common and superficial femoral and then use the thrombectomy only codes for the rest. I wish I had more experience in the open procedures, all I have had have been percutaneous and do I code the fasciotomy or is that included?? It did not bundle when I ran my coding software but that doesn't always mean anything
    Theresa CCS-P CPMA CCC ICDCT-CM

  6. #6
    Location
    Salt Lake City
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    well 37184 would be through a catheter not open so I think she is right with the 353 codes and I do believe she can code the fasciotomy separate.
    Jenifer McPolin CPC, CPMA, RCC

  7. Default
    Quote Originally Posted by jmcpolin View Post
    well 37184 would be through a catheter not open so I think she is right with the 353 codes and I do believe she can code the fasciotomy separate.
    ok. what about the Thrombectomy w/o endarterectomy are they a different set of codes? is there a bundle here?
    Theresa CCS-P CPMA CCC ICDCT-CM

  8. #8
    Location
    Salt Lake City
    Posts
    841
    Default
    the only open thrombectomy code I see is for a fistula, i would think that the 35302 or would include both or either
    Jenifer McPolin CPC, CPMA, RCC

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