endobj The surgery may last an hour or multiple hours depending on the location and extent of the blood clot. endstream endobj 444 0 obj <. 0000008538 00000 n Cleveland Clinic is a non-profit academic medical center. ICD-10-CM Diagnosis Code T45.614. Your healthcare provider will give you detailed instructions about: A thrombectomy can reduce the risk of severe disability, limb loss or death. xSMo@[lnfgw!ES"J p8)A-. "Mechanical thrombectomy involves the removal of a thrombus (blood clot) from a vessel (eg, thrombotic occlusion of an extremity artery) to help restore circulation," according to CPT Assistant Vol. <> 1 0 obj Effective in 2017, three codes (36901, 36902, 36903) were created to . The correct code for the radiological portion of the main pulmonary artery angiography is 75746-26 (Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation; Professional component). <> Handy Tips Guide Your Arterial and Venous Mechanical Thrombectomy Caution: If you are reporting mechanical thrombectomy of an additional vascular family the cardiologist treated through a separate access site, you should append modifier 59 (Distinct procedural service) to 37184 for the mechanical transluminal thrombectomy. 16 0 obj <> 0000000756 00000 n *This response is based on the best information available as of 03/03/16. <> Jean Kayser CPC CIRCC 0000011433 00000 n <> By Katharine L. Krol, MD, FSIR, FACR, RCCIR. Tip 5: Put it All Together With an Example. The correct code for the radiological portion of the main pulmonary artery angiography is 75746-26 (Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation; Professional component). You must also know if the arterial mechanical thrombectomy is primary or secondary. 21 0 obj Talk to your provider about other ways to reduce the risk of blood clots. When your cardiologist [], Follow 5 Effective Rules to Boost STEMI, NSTEMI Coding Skills, Remember: Report I21.4 for type 1 NSTEMIs or nontransmural myocardial infarctions. Coding solution: For the thrombectomy, you should report 37184. Billing and Coding: Pulmonary Thromboembolectomy Embolus (when a thrombus breaks loose from one location and travels to another location in your body). 76000 Peggy Hapner is manager of the HIM consulting division at Medical Learning Inc. (MedLearn), St. Paul, MN. Endovascular Today (ISSN 1551-1944 print and ISSN 2689-792X online) is a publication dedicated to bringing you comprehensive coverage of all the latest technology, techniques, and developments in the endovascular field. 12 0 obj Some people go home the same day as their procedure. endobj endstream Dont forget: If your cardiologist performs a bilateral venous mechanical thrombectomy through a separate access site(s), you should append modifier 50 (Bilateral procedure) to code 37187. %PDF-1.6 % Code 75746 is bundled into 37184, so you should report 75746 only if its for a truly diagnostic angiogram (no previous ones available, the decision to perform the thrombectomy was based on this angiography, etc.). endobj <> H\n@b"2x%DH#J `R11s|P97m._]i>^/OMW70yeyywmltt:w/:M{rO6gn]'c;[\A_9|e[pIzNLuW-grYe;v8V}o-W~c=7i]u:,2yy\2-L!eCNls@6iyc6d:=N_3__SA`A`A`A`A`d4p Catheter-directed mechanical thrombectomy with or without thrombolysis. snare basket, suction technique), add-on to primary procedure +37186. right-arrow 0000006871 00000 n Tip 2: Follow Rules for Primary Arterial Mechanical Thrombectomy Subscribe to Codify by AAPC and get the code details in a flash. Last reviewed by a Cleveland Clinic medical professional on 05/02/2022. However, for determining Medicare payment, only the CPT procedure codes are used. Alternatively, when arterial pathology is known prior to an endovascular intervention and pre-procedure planning is focused on correction of the pathology (eg angioplasty or stenting), secondary thrombectomy may be performed to remove short segments of thrombus also known to be present to prevent complications (distal clot embolization) or to enhance the correction of the pathology.. Coding Venous Thrombectomy - KarenZupko&Associates, Inc. PDF 2021 CODING & PAYMENT GUIDE - Boston Scientific 0000001596 00000 n PDF Peripheral Vascular Coding - AAPC Venous and arterial phase fistulograms were done using total of 40 cc of hypaque solution. 48 0 obj <> endobj xref 48 23 0000000016 00000 n endobj [texts-excerpt] penalty for cutting mangroves in floridaFREE EstimateFREE Estimate _R#r{)"3 `*c open or percutaneous; each additional vein . open, flexor; toe, single (separate procedure . Facility and Professional Coding: 36831 Thrombectomy, open, arteriovenous fistula without revision, autogenous or non-autogenous dialysis graft Access to Mechanical Thrombectomy for Ischemic Stroke in the United States. %PDF-1.4 % A thrombectomy is a surgery to remove a blood clot from a blood vessel (artery or vein). The subcutaneous tissue was approximated using 3-0 Vicryl running suture and the skin edges approximated using 4-0 Prolene running simple skin sutures. endobj endstream endobj startxref PDF CODING & REIMBURSEMENT Mechanical Thrombectomy Coding - Endovascular Today These procedures . endobj Anticoagulants are drugs that thin your blood to prevent more blood clots from forming and allow your body time to try to dissolve non-emergency clots over time. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613201/), (https://missionthrombectomy2020.org/know-the-facts/), Visitation, mask requirements and COVID-19 information, Heart, Vascular & Thoracic Institute (Miller Family). A blood clot, also known as a thrombus, can interrupt the blood flow to your extremities and/or organs that can be limb or life-threatening. The patient had thrombus in the loop Gore-Tex fistula in the right forearm. There are three new codes for arterial thrombectomy: 37184 Primary percutaneous transluminal MT, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection (s); initial vessel. The average lesion treatment length was 9.2 +/- 6.0 cm (range of 2 to 20), with a run-off score of 5.4 +/- 2.4. This coding information may include codes for procedures for which Boston Scientific currently offers no cleared or approved products. You may need a thrombectomy soon after the onset of symptoms. Note: You should never report 37184 in conjunction with intracranial arterial transluminal mechanical thrombectomy code 61645, fluoroscopy code 76000, or injection code 96374, according to the CPT guidelines. endobj Mechanical thrombectomy involves the removal of a thrombus (blood clot) from a vessel (eg, thrombotic occlusion of an extremity artery) to help restore circulation, according to CPT Assistant Vol. The procedure can limit damage and loss of bodily functions by restoring blood flow as quickly as possible. 0000003795 00000 n There was no evidence of stenosis in the vein in the antecubital fossa with the median cubital vein remaining widely patent as it has always been with no evidence of venous outflow stenosis in the vein. 0000020936 00000 n I hope this helps. endobj If mechanical thrombectomy is also required, this is separately reported. -Per CPT Assistant - "Code 35875 describes the thrombectomy of arterial or venous bypass placed g(af ? ?^EWU*{^E. Your healthcare provider may ask you to wear compression stockings to prevent clots in your legs. [ 7 0 R] mechanical thrombectomy, noncoronary, each addnl vessel within same family +37185. Note: You should never report +37185 in conjunction with 76000 or injection code +96375, according to CPT. Mechanical thrombectomy devices for treatment of stroke. %PDF-1.6 % Centers for Disease Control and Prevention. division 3 wrestling rankings 2022 - diamondamotel.com You have separate code sets for both arterial (37184-+37186) and venous transcatheter therapies (37187 and 37188). Acute superior mesenteric artery embolism: reperfusion with AngioJet hydrodynamic suction thrombectomy and pharmacologic thrombolysis with the EKOS catheter Vascular . 37184 . Primary perc. +96375 <> The graftotomy). <> In those . Some of the most common places for blood clots to occur are your legs, arms, intestines, brain, lungs and heart. Extremities: Symmetrical without edema. hbbd```b``3>d"'E D 9.H EuIFOx14lc"-fwH0{ Aag3$#R d`bd` e @ Y HtW\5oo#A$V Z@E'%CS}tiU\/:vuq&q=}g=Mj6ml&h]4`/CG4M F. hb```b``Nf`e`*eg@ ~(d*@:LaKsb2f 2sN':- :Dox"hnNQXKToN s-y86Gkk}[y6ErIh dK# "Lp`&XIIpC Note: You should never report +37185 in conjunction with 76000 or injection code +96375, according to CPT. 36831 Thrombectomy, open, arteriovenous fistula without revision, autogenous or non-autogenous dialysis graft. stream As described by CPT, percutaneous transluminar mechanical thrombectomy (37187) is reported once per session, regardless of the number of veins treated. Tip 4: And, Rely on These Codes for Venous Mechanical Thrombectomy Hint: If your cardiologist uses venous transcatheter therapies, you should report 37187. A chronic clot thats been present for more than 30 days. You must also know if the arterial mechanical thrombectomy is primary or secondary. The code specifies vein(s) which means any number of veins treated is reported as 37187. Article Guidance. stream For the IVC filter placement, you should report 37191 (Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance [ultrasound and fluoroscopy], when performed). <>>> 0000015834 00000 n stream Coding an Open Thrombectomy - Elite Learning endobj The Current Procedural Terminology (CPT) code range for Embolectomy/Thrombectomy Procedures on Arteries and Veins 34001-34490 is a medical code set maintained by the American Medical Association. Code 75746 is bundled into 37184, so you should report 75746 only if its for a truly diagnostic angiogram (no previous ones available, the decision to perform the thrombectomy was based on this angiography, etc.). Note: You should never report 37184 in conjunction with intracranial arterial transluminal mechanical thrombectomy code 61645, fluoroscopy code 76000, or injection code 96374, according to the CPT guidelines. Request a Demo 14 Day Free Trial Buy Now CPT Code Range 34001- 34490 (The following sentence includes this information: A graftotomy was made transversely in the distal venous limb of the graft and in the first centimeter of the arterial end of the graft and thrombectomy accomplished with 3 and 4 Fogarty catheters with brisk arterial end flow and good venous back-bleeding noted. 5"F_jELo5yxKW:)(Ki^%T~!=!T g=>,6SFW_,bv y6[' tU1DcR,Id.-P8ih&@dF_?{vbhpV{U[3UF !&8`ZC;{YyM3Ly <> On the other hand, if your cardiologist performs repeat treatment on a subsequent day during the course of thrombolytic therapy, you should report 37188 (Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during course of thrombolytic therapy). Coding example: In the hospital, the cardiologist performed a diagnostic angiography on the main pulmonary artery. Z48.812 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. %%EOF There is no evidence of erythema, edema or tenderness in the arm. Tip 3: Delve Into Secondary Arterial Mechanical Thrombectomy. AV Fistula and Graft Procedures Part 2 - Coding Mastery trailer <<16A9AA9C32FA437D841E9118AE6FC6CE>]/Prev 111815>> startxref 0 %%EOF 70 0 obj <>stream 10 0 obj In the right upper extremity, there is a looped Gore-Tex subcutaneous graft in the right forearm with no palpable pulse, thrill or audible bruit. %%EOF Thrombectomy with catheter of mesenteric artery by abdominal incision EL'iy .o2VbH"iDfk]}Pe?}^PF|0t/Z v=;i|0A'$!xsi?B+qy qRx K>pGaq^CV-V"ifTD('6UwBX8O+[wqkkO)DDV*:9$R A'] lz+'"e+vsNS).kX@. Society of Vascular and Interventional Neurology (SVIN). To report a true diagnostic angiogram, append modifier 59 (Distinct procedural service) to 75746. When your cardiologist performs a primary arterial mechanical thrombectomy, he will diagnose the thrombus prior to performing the mechanical thrombectomy procedure. New codes are approved for mechanical thrombectomy. 17 0 obj CPT: Handy Tips Guide Your Arterial and Venous Mechanical Thrombectomy Claims, Handy Tips Guide Your Arterial and Venous Mechanical Thrombectomy Claims, Mechanical thrombectomy involves the removal of a thrombus (blood clot) from a vessel (eg, thrombotic occlusion of an extremity artery) to help restore circulation, according to, If your cardiologist performs a secondary transcatheter procedure, you should report +37186 (, A secondary transcatheter thrombectomy procedure is performed for the removal or retrieval of segment(s) of a thrombus or embolus, typically after another percutaneous intervention that was complicated by a thrombotic event, according to. Tip 2: Follow Rules for Primary Arterial Mechanical Thrombectomy. more than one month after original operation (list separately in addition to code for primary procedure). The phrase second and all subsequent vessel(s) in the code descriptor means that code +37185 is reported only once, no matter how many subsequent vessels are treated in a given vascular family, according to CPT Assistant. Thrombectomy, open, arteriovenous fistula without revision, autogenous or non-autogenous dialysis graft (separate procedure) 36831 $848 Facility Only . 1 0 obj 0000001228 00000 n Since this code includes intraprocedural thrombolytic injections, you cannot report the TPA injections separately. Acute superior mesenteric artery embolism: reperfusion with AngioJet The procedure can restore blood flow to vital organs, like your legs, arms, intestines, kidneys, brain or other vital organs. KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. Open Approach ICD-10 Procedure Code15 Description Inpatient Hospital Billing Codes Medicare inpatient hospital reimbursement is based upon the Medicare Severity Diagnostic-Related Group (MS . You might need a thrombectomy if you have a blood clot that healthcare providers cant treat with medications like anticoagulants (blood thinners) or thrombolytics (clot-busting drugs). hbbd```b``@$dz6:`VL2ADe"tLI$cI{Zb[H% R 61645 for the treatment of the same vascular territory We do not endorse non-Cleveland Clinic products or services. )N7gg{~[G7h2i?$)f!fk">A PDF 2022 CODING AND REIMBURSEMENT GUIDE - Boston Scientific The fistulogram showed adequate arterial end flow with good arterial vessels coming from the brachial artery and through its bifurcation into the forearm. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare 38 Medicaid Services CMS inclu Surgical Procedures on the Cardiovascular System, Surgical Procedures on Arteries and Veins, Copyright 2023. The cardiologist will also preoperatively plan the thrombectomy. If a percutaneous thrombectomy is performed in more than one vein, can each one be reported separately? <> 9. When your cardiologist performs a primary arterial mechanical thrombectomy, he will diagnose the thrombus prior to performing the mechanical thrombectomy procedure. The Current Procedural Terminology (CPT) code range for Embolectomy/Thrombectomy Procedures on Arteries and Veins 34001-34490 is a medical code set maintained by the American Medical Association. KarenZupko & Associates, Inc. 2023 | All Rights Reserved, Use of Tissue Adhesive for Laceration Repair. Adverse effect of thrombolytic drugs. When your cardiologist performs a mechanical thrombectomy, you should check the medical documentation for specific details such as whether it is an arterial or a venous procedure. Previous Article, Renal Artery Stenting With Embolic Protection. A blood clot in a location thats too hard to reach. A secondary transcatheter thrombectomy procedure is performed for the removal or retrieval of segment(s) of a thrombus or embolus, typically after another percutaneous intervention that was complicated by a thrombotic event, according to CPT Assistant. The procedure codes listed below are applicable to Venous/Arterial Mechanical Thrombectomy (PMT) cases. The fistula is actually the third such loop fistula placed in the concentric fashion with this being the outermost of the three fistulas. The procedure performed is a Thrombectomy, which is listed in the CPT manual index. A thrombectomy is a surgical or interventional treatment to remove blood clots in an artery or vein to help restore blood flow through your blood vessel. Coding Corner: Coding for Radical Nephrectomy Sometimes a thrombectomy must be performed within a matter of hours to prevent life or limb-threatening complications from occurring. Coding for dialysis circuit interventions | The Bulletin The new descrip-tor for 37209 allows use of this code for exchange of a catheter during thrombolytic infusion therapy in either a vein or an artery. Thrombectomy: What It Is and Procedure Details - Cleveland Clinic endobj 0000003115 00000 n For additional information on this or related content, please email, Sexual Assault Nurse Examiner (SANE) Core Course, Now Available: The 2021 Holiday Guide for Healthcare Professionals, Self-Care 2021: An Elite Learning Resource Guide, Immunization Awareness and Adult Vaccinations, COVID Fatigue, FAQs, and Vaccine Hesitancy, Healthy Lifestyles and Managing Heart Disease Risk, Cardiac Rehabilitation for Therapy Professionals, Nursing Rated Most Trusted Profession in Recent Gallup Poll, Symptoms and Treatments for Major Depressive Disorder, Understanding the Risks of Heart Disease in Women. You have separate code sets for both arterial (37184-+37186) and venous transcatheter therapies (37187 and 37188). Claims must contain the appropriate CPT/HCPCS/ICD-10-PCS code(s) for the specific site of service to indicate the items and services that are furnished. Thrombectomy with catheter of mesenteric artery by abdominal incision 21841006 SNOMED CT code demo request yours today subscribe start today newsletter free subscription Thank you for choosing Find-A-Code, please Sign In to remove ads. x . During a mechanical thrombectomy, your surgeon introduces special devices through catheters that can either macerate or suction out clots from within your blood vessel. Answer: As described by CPT, percutaneous transluminar mechanical thrombectomy (37187) is reported once per session, regardless of the number of veins treated. Coding example: In the hospital, the cardiologist performed a diagnostic angiography on the main pulmonary artery. 0000012925 00000 n endobj Dont miss: Codes 37184-37188 include the intraprocedural fluoroscopic radiological supervision and interpretation services for the thrombectomy guidance, according to the CPT guidelines. 9 0 obj ICD-10-CM Diagnosis Code T45.615. The patient was taken to the recovery room in satisfactory condition. 1085 0 obj <>stream Created with Sketch. However, you can separately report catheter placement, diagnostic studies, and other percutaneous interventions such as a transluminal balloon angioplasty and stent placement. Operative Technique: After induction of a right axillary block without complications, the right upper extremity was prepped with duraprep solution and draped using sterile towels and sheets. Caution: If you are reporting mechanical thrombectomy of an additional vascular family the cardiologist treated through a separate access site, you should append modifier 59 (Distinct procedural service) to 37184 for the mechanical transluminal thrombectomy. % Catheter-directed aspiration thrombectomy. As stated under Operative Findings, the patient had thrombus in the loop Gore-Tex fistula in the right forearm. Sponge, needle and instrument counts were reportedly correct. There are two large categories of thrombectomies: During a surgical thrombectomy, your surgeon makes an incision to get to your blocked blood vessel, cuts open your blood vessel, removes the blood clot using a balloon, and then repairs the blood vessel. ICD-10-CM Diagnosis Code T45.616. Tip 1: Define Mechanical Thrombectomy for Clarity Created with Sketch. 6 0 obj Sp4#Y_]:B"4"1mOD|vG=`^,#lV4*~P^f:}^Nf;tN E}MA .ZDp3/`/1bpDR#8?\E1["2*Jd_P o, 're. To report a true diagnostic angiogram, append modifier 59 (Distinct procedural service) to 75746. This code includes the open access to the brachial artery, all of the roadmapping and fluoroscopic guidance, stent placement, post-deployment angioplasty and completion angiography. Mechanical Thrombectomy Coding - Endovascular Today stream Next Article Tip 3: Delve Into Secondary Arterial Mechanical Thrombectomy CPT . 2014 New AAA Coding Codes 34842-34848 should NOT be used for chimneys, snorkels or periscopes. And, you should report +37185 ( second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)) for the second or all subsequent vessels within the same vascular family. The butterfly was removed and the patient was given 30 mg Protamine to reverse the 5,000 units of Heparin given prior to thrombectomy. PDF Peripheral Vascular Coding - AAPC Arterial Thrombectomy . Providers should select the most appropriate code(s) and modifier(s] with the highest level of detail to . endobj endobj However, the frequency of thrombectomy is highly variable and ultimately depends on the location and extent of the blood clot. A blood clot that can be treated with medication. Answer: "|LFR]A)ifb]ff%8f]N]QJwV.S *fi b# 14 0 obj Question: 0000002891 00000 n GB.8ATBAT 2023 ICD-10-CM Diagnosis Code Z48.812 - ICD10Data.com To report an open radical nephrectomy, use CPT code 50230 Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy. There was a widely patent graft and good venous outflow into the cephalic vein in the arm. -i.e. endobj Mechanical thrombectomy involves the removal of a thrombus (blood clot) from a vessel (eg, thrombotic occlusion of an extremity artery) to help restore circulation, according to CPT Assistant Vol. The code specifies "vein (s)" which means any number of veins treated is reported as 37187. Read on to keep your mechanical thrombectomy procedures in tip-top shape. 33233: Cardiovascular: Removal of permanent pacemaker pulse generator. If your cardiologist uses venous transcatheter therapies, you should report code 37187 (Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance) for the initial application. {& $atey( lS+ m. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 21 0 R/Group<>/Tabs/S/StructParents 2>> Some of these techniques are known as: Sometimes theres no way to prepare for a thrombectomy if its performed in an emergency. g(p All Rights Reserved Privacy Policy, Katharine L. Krol, MD; Sean M. Tutton, MD; Dawn Hopkins. After he performs the thrombectomy, he will conduct a post-procedure evaluation. 482 0 obj <>/Filter/FlateDecode/ID[<52FB9AC43D401A4D99F2C179042ACACA>]/Index[443 70]/Info 442 0 R/Length 156/Prev 356206/Root 444 0 R/Size 513/Type/XRef/W[1 3 1]>>stream 18 0 obj <> Pre- and Postoperative Diagnosis: Thrombosis of right forearm loop Gore-Tex hemodialysis fistula with no mechanical problem identified, Procedure Performed: Thrombectomy of right forearm graft. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Audit reveals crisis standards of care fell short during pandemic. A secondary transcatheter thrombectomy procedure is performed for the removal or retrieval of segment(s) of a thrombus or embolus, typically after another percutaneous intervention that was complicated by a thrombotic event, according to CPT Assistant. Thrombectomy codes include getting rid of clot by any method, including balloon maceration.. 1048 0 obj <> endobj Af) A review of the entries under this term reveals that your choice will be Dialysis Graft without Revision 36831. You should call your healthcare provider if you experience the following after your procedure: A thrombectomy is a surgery to remove a blood clot from an artery or vein. Conviction is just one of more than 130 such criminal cases involving 80 million A federal jury convicted a Colorado physician Jan. 13 for misappropriating about 250000 from two separate COVID19 relie Can depression increase the risk of heart disease In recent years scientists have attempted to establish a link between depression and heart disease. Reporting myocardial infarctions in [], Expert Advice Helps You Target Appropriate Modifier 24, 25, and 57 Use, Remember: Modifier 25 applies to E/Ms with minor procedure. Some blood clots only require treatment with medicine like anticoagulants or thrombolytics. If your cardiologist uses venous transcatheter therapies, you should report code 37187 (Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance) for the initial application. 36906 Thrombectomy and/or Thrombolysis + Diag Eval $6,456+ Stent & PTBA Peripheral Segment Percutaneous (minimally invasive) thrombectomy endobj hb```f``S @Q&x6-@R$"U58IdaA|!@Y0(%joUX ld" c,%v'{N0lee2b+<>< x!dgFO'|kN$c8!9/@A~ .h @ di91 Embolectomy/Thrombectomy Procedures on Arteries and Veins. <> Get useful, helpful and relevant health + wellness information. For Medicare, physician reimbursement is under the RBRVS system. 4 0 obj 3 0 obj 0000009861 00000 n Hint: If your cardiologist uses venous transcatheter therapies, you should report 37187. Surgical (open) thrombectomy During a surgical thrombectomy, your surgeon makes an incision to get to your blocked blood vessel, cuts open your blood vessel, removes the blood clot using a balloon, and then repairs the blood vessel.
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