AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

Carotid Endarterectomy with Patch Angioplasty

The patient presents with significant carotid artery stenosis and history of cerebrovascular accident. An open right carotid endarterectomy with patch angioplasty is performed. There is disagreement among coders whether the patch graft should be coded. Some feel that the patch graft does not require a separate code as it is only being applied to close the arteriotomy, while others wish to separately code the patch graft using the root operation “Supplement.” What are the appropriate ICD-10-PCS code assignments for a carotid endarterectomy with Dacron® patch graft? ...

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