In code table 021, Heart and Great Vessels, Bypass, the qualifier value Abdominal Artery was created for the body part value Thoracic Aorta, Descending. The change will allow the capture of detail for bypass procedures from the thoracic aorta to abdominal artery sites such as the abdominal aorta, the celiac artery and the mesenteric arteries.
|W Thoracic Aorta, Descending||F Abdominal Artery|
In addition, in code table 021, Heart and Great Vessels, Bypass, the qualifier value Lower Extremity Artery, was added for the body part value Thoracic Aorta, Descending. The change will allow the capture of detail for limb salvage procedures from the thoracic aorta to lower extremities arteries such as the femoral arteries.
|W Thoracic Aorta, Descending||V Lower Extremity Artery|
In code table 021, Heart and Great Vessels, Bypass, the qualifier values Axillary Artery and Brachial Artery, were added for the body part value Thoracic Aorta, Descending and the device values Zooplastic Tissue, Autologous Venous Tissue, and Autologous Arterial Tissue. These changes complete the available device values for aorto-axillary and aorto-brachial bypass procedures.
|W Thoracic Aorta, Descending||8 Zooplastic Tissue
9 Autologous Venous Tissue
A Autologous Arterial Tissue
|G Axillary Artery
H Brachial Artery
A patient with life-limiting claudication due to perivisceral aortic occlusive disease was admitted for thoracic aorta-to-femoral bypass graft. A left thoracotomy was performed and a graft was sewn into the descending thoracic aorta. Next, an incision was made in the left groin longitudinally and taken down to fascia. The common femoral artery was dissected out down to the bifurcation. A tunnel was created between the left groin incision and the left thoracic cavity. A polytetrafluoroethylene bifurcation graft was passed, and the graft was beveled and sewn end-to-side onto the left common femoral artery. What are the ICD-10-PCS codes for this procedure?
Assign the following ICD-10-PCS codes:
021W0JV Bypass thoracic aorta, descending, to lower extremity artery with synthetic substitute, open approach