AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor
Femoral Artery to Tibioperoneal Trunk Bypass
A patient with thrombosis of the right popliteal artery presented for bypass of right femoral artery down to the tibioperoneal trunk. The distal popliteal artery was opened down to the tibioperoneal trunk and an old thrombus was found in the arterial system. A Gore-Tex graft was sewn end to side to the popliteal junction and flow was restored through the Gore-Tex graft down to the foot. How should a right femoral to tibioperoneal bypass using Gore-Tex graft be coded? What is the appropriate body part value for tibioperoneal trunk? ...
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Article Overview
This article explains how to approach a vascular bypass coding question involving the right femoral artery, the popliteal artery region, and the tibioperoneal trunk. It is aimed at coders and clinical coding professionals who work with inpatient procedure coding and need to understand the anatomy, body part selection, and bypass procedure reporting discussed in the article.
Why This Topic Matters
Accurate procedure coding for lower-extremity bypass surgery depends on matching the operative anatomy and the documented surgical route to the correct ICD-10-PCS assignment. This article is relevant for professionals who code vascular surgery cases and want to review the anatomical and coding considerations involved.
What You Will Learn
- How a lower-extremity bypass case is framed for procedure coding
- How the anatomy in the operative note affects procedure code selection
- What general considerations are raised when selecting the body part value for the target vessel
- How inpatient procedure coding concepts apply to a femoral-to-tibioperoneal bypass case
Who Should Read This
- Inpatient medical coders
- Hospital coding specialists
- Coding auditors
- Revenue cycle professionals
- Vascular surgery coders
Codes Discussed
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