AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 3; Ask the Editor
Bilateral Renal Artery Bypass
A patient with history of infrarenal abdominal aortic aneurysm repair has developed an extension in the perivisceral aorta. Bilateral renal artery bypass was performed due to the nature of the disease and location of the renal arteries. An end-to-end anastomosis was performed between the right renal artery and the gastroduodenal artery (a branch of the hepatic artery), and between the left renal artery and the splenic artery. How is this procedure coded? ...
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Article Overview
This premium article explains how a bilateral renal artery bypass case is approached in ICD-10-PCS when the operative anatomy involves the abdominal aorta and renal artery inflow on both sides. It is relevant to inpatient coders, auditors, and clinical documentation specialists who need to understand how the article frames body-part selection and related coding considerations for this type of vascular procedure.
Why This Topic Matters
Complex vascular bypass cases can involve anatomy that does not map neatly to a single ICD-10-PCS body part value, so this topic matters for accurate inpatient procedure coding and consistent interpretation of operative reports.
What You Will Learn
- How the article frames a bilateral renal artery bypass case for ICD-10-PCS review.
- Why vascular anatomy and procedure location are central to the coding discussion.
- How the article presents the relationship between operative findings and PCS body-part selection at a high level.
- What coding considerations are raised when a specific arterial body part value is not directly available in the table discussed.
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
- Health information management staff
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