AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Quarter 3; Ask the Editor
Infrarenal Abdominal Aortic Aneurysm Repair with Iliac Graft Extension
A patient was admitted with a ruptured infrarenal abdominal aortic aneurysm and underwent an Endovascular Abdominal Aortic Aneurysm Repair (EVAR). A Gore® Excluder® graft was deployed in the main body of the abdominal aorta. In addition, a graft extension was placed in the distal right iliac limb with a balloon graft. What is the correct ICD-10-PCS code for deployment of a stent graft into the main body of the abdominal aorta, and would it be appropriate to assign code 047C3DZ , Dilation of right common iliac artery with intraluminal device, percutaneous approach, for the dilation of the common iliac artery graft limb extension? ...
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Article Overview
This article explains a vascular coding scenario involving endovascular repair of a ruptured infrarenal abdominal aortic aneurysm with extension into the iliac limb. It is intended for coders, auditors, and clinical documentation specialists who need to understand how the procedure is represented in ICD-10-PCS and how associated limb-extension work is characterized at a high level. The article focuses on procedure coding selection for the main aortic repair and the related iliac component in an EVAR setting.
Why This Topic Matters
Accurate ICD-10-PCS assignment for complex endovascular aneurysm repair affects procedure reporting, data integrity, and downstream reimbursement and quality measurement. This topic is especially relevant when aortic and iliac components are performed together and documentation must be interpreted carefully.
What You Will Learn
- How the article frames procedure coding for endovascular abdominal aortic aneurysm repair
- How the iliac limb extension component is discussed in relation to the main repair
- What coding question the article addresses for this vascular procedure scenario
- How the article relates the scenario to ICD-10-PCS procedure coding
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation improvement specialists
- Revenue integrity staff
- Health information management professionals
Codes Discussed
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