AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 3; Ask the Editor

Excision of Ulceration of Arteriovenous Fistula

This same patient was found to have an ulcerated area of the arteriovenous (AV) fistula at the cannulation site, extending through the skin to the vessel wall into the cephalic vein portion of the fistula. The surgeon noted that this was the reason for the bleeding. An elliptical incision was made around this abnormal tissue, extending through both the skin and the vascular wall. The defect was then reapproximated in layers and the vascular wall was reapproximated with suture material. What is the correct root operation for this procedure, Excision, Repair, or Revision? ...

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