AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor
Peroneal Artery to Dorsalis Pedis Artery Bypass Using Saphenous Vein Graft
The patient had significant peripheral vascular disease at the tibial level. A right peroneal artery to dorsalis pedis artery bypass with contralateral reversed left greater saphenous vein graft was performed. The saphenous vein graft was sewn into the peroneal artery in a reversed end-to-side manner, tunneled and brought out adjacent to the dorsalis pedis artery where it was cut to the appropriate length and anastomosed. What is the code assignment for this procedure? ...
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Article Overview
This short article addresses how a specific lower-extremity vascular bypass procedure is coded in ICD-10-PCS. It is relevant to coders working with peripheral vascular surgery, vascular bypass procedures, and procedure-to-code matching in inpatient coding. The article centers on identifying the appropriate ICD-10-PCS assignment for the described bypass operation and confirms the code assignment referenced by the source.
Why This Topic Matters
Correctly matching vascular bypass procedures to ICD-10-PCS procedure codes is important for accurate inpatient coding and clinical documentation alignment, especially when the operative note describes vessel origin, destination, graft type, and approach.
What You Will Learn
- How a lower-extremity arterial bypass procedure is represented in ICD-10-PCS
- How operative details such as vessel targets, graft material, and approach relate to code assignment
- How to interpret a coding question focused on a peripheral vascular bypass case
- Which ICD-10-PCS code assignment is referenced for the described procedure
Who Should Read This
- Inpatient coders
- Coding auditors
- Vascular surgery coders
- Clinical documentation improvement specialists
Codes Discussed
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