AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor
Bovine Patch Arterioplasty
A patient with right femoral occlusion and ischemic rest pain underwent bovine patch arterioplasty. In ICD-10-PCS, the root operation “Supplement” right femoral artery directs the coder to 04UK-. Although bovine patch appears to be graft tissue derived from animal, there is no device character for zooplastic at table 04U. What is the correct device character for bovine patch arterioplasty? ...
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Article Overview
This premium article covers an ICD-10-PCS vascular procedure scenario centered on bovine patch arterioplasty. It is aimed at coders working with inpatient procedure coding and device-value selection guidance when common graft-material terminology does not appear as a direct table option. The article provides a focused discussion of how the procedure is represented in ICD-10-PCS and why the topic matters for accurate coding of femoral artery repair cases.
Why This Topic Matters
Procedure coding for vascular repairs depends on selecting the correct ICD-10-PCS root operation and device value. Articles like this help coders interpret graft-material terminology consistently in the context of inpatient coding.
Article Sections
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Coding scenario and device value discussion
Introduces a femoral artery arterioplasty case and discusses how the procedure is represented within ICD-10-PCS. The section focuses on device-value selection considerations for a biologic patch material.
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Code assignment
Presents the resulting ICD-10-PCS procedure code for the scenario.
What You Will Learn
- How the article frames a vascular repair coding scenario in ICD-10-PCS.
- What general device-value issue is discussed for a biologic patch material.
- How the article presents the final inpatient procedure coding result.
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Who Should Read This
- Inpatient coders
- ICD-10-PCS coders
- Coding educators
- Auditors reviewing procedure coding
Codes Discussed
Code Ranges Discussed
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