AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Coronary Artery Bypass Graft Utilizing Internal Mammary as Pedicle Graft

Our facility is unclear regarding the coding of coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA). We are specifically debating whether the LIMA is considered a free graft or a pedicle graft, and if harvesting of the LIMA is also coded. If the LIMA graft remains attached, would only the bypass be coded with 6th character “Z” for no device? ...

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