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Left femoral artery and vein cutdown for cardiopulmonary bypass.

Physician a femoral artery and vein cutdown for cardiopulmonary bypass during minimally invasive valve repairs. What is the correct billable CPT code for the femoral artery and vein cutdown? 34714 is the suggested the problem is we are not creating a conduit a member on our team suggested (34812 ).

This is the part of the providers note. Our attention was turned towards the left groin where femoral artery and vein cutdown were performed, 5000 units of heparin were given and using a Seldinger technique and echocardiographic guidance, a left femoral arterial cannula 18-French was placed and a 25-French femoral venous cannula was placed. The femoral venous cannula was advanced so that the tip was in the superior vena cava right atrial junction.

thank you!

Medical Billing and Coding Forum

CPT for Femoral Artery Cutdown and Cannulation Only

Hello, any advice on what code to use for a vascular surgeon who did Right femoral artery with femoral artery isolation and cannulation followed by right femoral artery primary repair, hand held ultrasound guidance identification of the femoral artery?

This was for a tavr procedure, I’m not sure if this was the same session as the TAVR procedure or a separate session, but my surgeon only did the cutdown portion of the procedure, no documentation of tavr surgery involvement, would CPT 34812 work?

"The patient is a high risk candidate for surgical aortic valve replacement and
therefore he was a much better candidate for TAVR at this point. With the
preoperative evaluation, we noted the patient’s RV was severely tortuous and
therefore decided on a primary cutdown with identification and also isolation of
the right femoral artery.The patient was prepped and draped in the usual
sterile fashion for the TAVR procedure. After this was ready, we proceeded with
an ultrasound identification of the location of the right femoral artery.
Thereafter, incision was then made above the inguinal crease. The femoral
artery was then identified. Pursestring suture was placed over the left
preselected area on the femoral artery for cannulation. At the end of procedure
after the 24-French sheath was then removed the previously placed suture was
then initially tightened down. Vascular clamp was then placed proximally and
distally to the femoral artery. Thereafter, the pursestring suture was removed
and then the artery was then repaired primarily. After completion of the repair,
the distal femoral artery clamp was first removed followed by the proximal
femoral clamp. Hemostasis was noted. The cutdown was then reapproximated in 3
layer fashion."

Medical Billing and Coding Forum