AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 1; Ask the Editor
Revision of Femoropopliteal Bypass Graft
The patient is a 74-year-old female with severe peripheral arterial occlusive disease who presented with rest pain in her right lower leg and foot. She is status post femoropopliteal bypass. The provider documented “Femoropopliteal bypass graft occlusion.” An open thrombectomy was carried out, and the existing fem-pop autologous bypass was trimmed and reanastomosed. What are the appropriate ICD-10-PCS procedure codes? ...
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Article Overview
This premium article reviews an ICD-10-PCS vascular procedure coding scenario centered on a femoropopliteal bypass graft that required corrective treatment after occlusion. It is aimed at coders and CDI professionals working with inpatient procedural coding, and it focuses on how the case is classified within ICD-10-PCS using the concept of revision for a previously placed device.
Why This Topic Matters
Understanding how this kind of vascular bypass revision is categorized helps coding professionals align operative documentation with the correct ICD-10-PCS procedure classification.
What You Will Learn
- How the case is framed for ICD-10-PCS procedural classification
- How a femoropopliteal bypass graft revision scenario is documented and interpreted
- How vascular bypass-related inpatient procedure coding is approached in this type of case review
- The role of ICD-10-PCS revision concepts in postoperative graft correction
Who Should Read This
- Inpatient coders
- Coding educators
- Clinical documentation improvement specialists
- Revenue integrity professionals
Codes Discussed
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