AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 1; Ask the Editor

Repair of Pseudoaneurysm of Femoral-Popliteal Bypass Graft

The patient is a 65-year-old male with a history of chronic peripheral artery disease (PAD), who had previously undergone right femoral-popliteal bypass grafting using saphenous vein. One year after the bypass procedure, the patient presented with a totally occluded graft and underwent recanalization of the graft with balloon angioplasty and stent placement. He now presents with acute pain in the right lower extremity. CT angiography demonstrated a pseudoaneurysm from rupture of the right femoral popliteal bypass graft. The patient underwent endovascular repair. During the procedure, the rupture at the site of the previous bypass was repaired, and a stent graft was deployed inside the existing saphenous vein graft at the site of the pseudoaneurysm. What is the correct ICD-10-PCS code for this procedure?  ...

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