May 16, 2013
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?
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.