In code table 02U, Heart and Great Vessels, Supplement, coronary artery body part values have been added to enable capture of specific detail for a procedure to reinforce or augment coronary arteries, such as a stent graft placed to seal and reinforce a perforated coronary artery status post atherectomy.
|0 Coronary Artery, One Artery
1 Coronary Artery, Two Arteries
2 Coronary Artery, Three Arteries
3 Coronary Artery, Four or More
4 Percutaneous Endoscopic
|7 Autologous Tissue Substitute
8 Zooplastic Tissue
J Synthetic Substitute
K Nonautologous Tissue Substitute
|Z No Qualifier|
A patient underwent rotational atherectomy and stenting of her coronary artery. Following the rotational atherectomy, angiography revealed a perforation in the proximal circumflex coronary artery and pericardial effusion. A balloon was advanced and inflated, followed by deployment of a JoMed Graftmaster® stent graft to seal the perforation. The provider documented that the perforation was successfully repaired/treated with the JoMed GraftMaster®. What is the appropriate root operation for the deployment of the JoMed Graftmaster® stent graft to repair/treat the coronary perforation?
Supplement is the appropriate root operation for the deployment of the synthetic stent graft to repair/treat the coronary perforation. In this case, the JoMed Graftmaster® stent graft was deployed to seal the perforation of the proximal circumflex artery. Although stents are often used for dilation of a vessel, they can also be used to reinforce or augment a vessel, so “Supplement” is the appropriate root operation
Assign the following ICD-10-PCS code:
02U03JZ Supplement coronary artery, one artery with synthetic substitute, percutaneous approach, for the placement of the JoMed Graftmaster® stent graft