AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

Femoral-Tibial Artery Bypass and Saphenous Vein Graft

The patient presented with a nonhealing ulcer of the right toe due to severe peripheral vascular disease. She underwent right common femoral artery to posterior tibial artery bypass utilizing a Propaten® vascular graft as well as distal greater saphenous vein cuff. The surgeon made an incision into the groin, dissected down through the muscle layers and identified the common femoral artery and the posterior tibial artery. He then created an end-to-side anastomosis with the beveled end of the graft. A short segment of greater saphenous vein was harvested using a separate incision site just above the knee, which was then sewn in a vein cuff using Prolene® suture. What is the correct device value? Are two codes required, one for the greater saphenous vein graft and one for the synthetic graft? ...

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