A patient underwent an open aortic and common iliac artery thrombectomy with infrarenal to bilateral distal common iliac artery bypass due to acute aortic thrombosis from the level of the renal arteries to the external iliac arteries. During the procedure, an aortotomy was made and a thrombus was removed from the right common iliac artery just above the bifurcation. A Fogarty catheter was then passed through the opening, down to the right external iliac artery where an additional thrombus was removed. The same procedure was repeated on the left common iliac artery and the left external iliac artery. Would the approach value for the thrombectomies performed via the Fogarty catheter be reported as open or percutaneous?
“Open” is the correct approach value for the thrombectomies performed via the Fogarty catheter.
Although the additional thrombectomies were performed via the Fogarty catheter, the procedure site was reached through an open incision. The ICD-10-PCS definition for “open approach” is cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure.