Tom,

There are several "it depends" in this one, starting with differences based on the surgery(ies).  For example, was it an axillo-femoro-femoral bypass graft (one graft, three anastomoses, two being end-to-side and one side-to-side) or an axillo-femoral AND femoro-femoral bypass grafts (as in two separate grafts).  I probably could assume a duplex evaluation (vs physiological), but history has taught me that this could be a mistake.  

Procedure coding depends also on your facilities P&P (surprisingly important - e.g., where the difference between complete bilateral and unilateral limited) - wisdom dictates that the entity submitting claims would have these defined.  As such, several possibilities exist.  

May need to take this one off-line.  

/fww


Franklin W. West, BSN, RN, RVT, RVS, CHC, FSVU
Chief Complaince Officer
Director, Practice Support, Complaince and Heath Policy
Society for Vascular Ultrasound
4601 Presidents Drive
Suite 260
Lanham, MD 20706-4831
(301) 459-7550 x106 (office)
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___________________________________
Date:    Thu, 4 Sep 2014 09:33:45 -0500
From:    Tom <[log in to unmask]>
Subject: CPT codes

Curious what CPT code everyone
Is using for Axillary to fem bypass grafts. Also fem to fem bypass grafts. Need help please. 

Sent from my iPhone

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