AHA Coding Clinic® for ICD-9 - 2011 Issue 1; Ask the Editor

Dissection of Artery Occurring During Coronary Intervention

This patient with known coronary artery disease (CAD) is admitted for percutaneous coronary intervention. The operative report states, “a kissing balloon angioplasty was also carried out due to plaque migration. This was associated with a small dissection in the native right coronary artery just distal to the stent. Because of this a 12/2.5 millimeter drug eluting stent was placed in the distal right coronary artery extending to the left ventricular branch and jailing the posterior descending coronary artery.” What is the appropriate code for the dissection? ...

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