Bypass Graft Thrombectomy with Revision (35876): What’s Billable?

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Question:

The physician does bypass with vein (35566). The next day thrombus develops in that vein graft and the physician does a catheter thrombectomy but the graft tears from the thrombectomy and is not repairable. He removes the graft and replaces it with a synthetic graft. Is 35876 (thrombectomy with revision) the only billable code for the services provided on day two?

Answer:

Yes, on day two, 35876 for the thrombectomy and revision is the only code reported. Remember to add a 78 modifier to 35876 for an unplanned return to the operating room for a related procedure.

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