AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Aortic Aneurysm Repair with Debranching of Common Carotid and Brachiocephalic Arteries

A patient with chronic aneurysm involving the ascending aorta, aortic arch, and descending aorta is admitted for ascending aortic and aortic arch replacement with tube grafts. The proximal ascending aorta was dissected out and a tube graft was placed from the sinotubular junction. The aortic valve was resected and replaced. The aortic arch was divided and replaced with a graft and sutured to the proximal descending aorta and to the tube graft replacement at the ascending aorta. The left common carotid artery and brachiocephalic artery were debranched. A bifurcated graft was sutured to the left carotid artery and a graft was sutured to the brachiocephalic artery. Are codes assigned for debranching and placement of the carotid and brachiocephalic arteries to the ascending aorta that has now been replaced by the graft? ...

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