CPT^® 35654, Under Bypass Graft Procedures Other Than Vein

The Current Procedural Terminology (CPT^®) code 35654 as maintained by American Medical Association, is a medical procedural code under the range - Bypass Graft Procedures Other Than Vein.

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Summary

The provider uses a graft, other than a vein, to bypass a blockage in the lower aorta, or the main arteries in the abdomen, by rerouting the connection around the blockage from the axillary artery to the femoral arteries.

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Open repair of right anterior tibial artery pseudoaneurysm using reversed right great saphenous vein interposition graft

[QUOTE="ernist8489, post: 489553, member: 341084"] Thanks what if they thrombectomize an aortobifemoral bypass graft left limb and across the fem fem and do not place a patch or anything like that and... [ Read More ]

Open repair of right anterior tibial artery pseudoaneurysm using reversed right great saphenous vein interposition graft

Thanks what if they thrombectomize an aortobifemoral bypass graft left limb and across the fem fem and do not place a patch or anything like that and then after thrombectomy of graft they do a new PTF... [ Read More ]

35654 vs. 35661 & 35621

Here is kind of the rule of thumb i use. It will depend on the flow. If it is one bifurcated graft and the the blood flows from the aorta to both femorals then use 35654. If the blood flow from the ao... [ Read More ]

35654 vs. 35661 & 35621

Would anyone be able to give me examples of when it would be appropriate to use 35654 and when it would be more appropriate to bill 35561 with 35621 in the same session? I am not finding a CCI edit f... [ Read More ]

Axillobifemoral bypass and thrombectomies

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 thromb... [ Read More ]

Axillobifemoral bypass and thrombectomies

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... [ Read More ]

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