AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor

Femoral Artery to Posterior Tibial Artery Bypass Using Autologous and Synthetic Grafts

A patient with critical limb ischemia presented with thrombosis of her previous popliteal artery bypass with rest pain of the right lower leg. She underwent an open bypass of the common femoral artery to the posterior tibial artery using polytetrafluoroethylene (PTFE) spliced to a reverse greater saphenous vein graft (SVG) that was harvested from a separate site on the right leg. Are two ICD-10-PCS codes assigned for the bypass utilizing SVG and synthetic graft/PTFE? What codes should be assigned for this procedure? ...

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