AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor

Coronary Angioplasty of Bypassed Vessel

A patient, status post coronary artery bypass graft (CABG), is admitted due to significant in-stent restenosis in a previously placed stent in the saphenous vein graft within the distal anastomosis. A percutaneous transluminal coronary angioplasty was performed on the right coronary artery with deployment of a single drug-eluting stent. In ICD-10-PCS, how is an angioplasty of a vessel that has been previously bypassed using a saphenous vein graft (SVG) coded? Would this be coded using the body part value for “coronary artery”? ...

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