What procedure should Dr. Martin report for the repeat femoral-femoral bypass graft?

For a repeat femoral-femoral bypass graft, the correct code to report is 35558-77. This code specifically distinguishes a bypass graft procedure that is done on a previously bypassed area, indicating that this is a repeat intervention.

The use of the modifier -77 in this context is essential, as it indicates that the procedure is a repeat surgery on the same anatomical site, differentiating it from a first-time procedure. This is particularly relevant in surgical coding as it provides additional information regarding the nature of the procedure performed, which can affect reimbursement and appropriate documentation.

In choosing this code, it's important to recognize that it aligns with the guidelines for vascular bypass procedures and captures the full scope of intervention performed by Dr. Martin. The presence of a different modifier for the other choices reflects variations in procedure context or detail that wouldn't sufficiently describe a repeat bypass graft.