AHA Coding Clinic® for ICD-9 - 2010 Issue 2; Ask the Editor

Pseudoaneurysm of Saphenous Vein Graft of Diagonal Artery

The patient had a history of coronary artery disease (CAD) status post coronary artery bypass graft (CABG) and was admitted for non-ST elevated myocardial infarction (NSTEMI). Diagnostic left cardiac catheterization revealed pseudoaneurysm of saphenous vein graft of the diagonal artery and coronary occlusion (atherosclerosis) of the vein grafts. The patient underwent selective saphenous vein graft angiography, aortogram and coil embolization of pseudoaneurysm. During the procedure, balloon angioplasty was performed to advance the sheath. The coil was introduced through a catheter and complete thrombosis of the pseudoaneurysm was accomplished via coil embolization. How should this case be coded? ...

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