AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor
Thrombectomy via Fogarty Catheter
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? ...
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Article Overview
This article explains how to think about procedure approach selection in an ICD-10-PCS vascular surgery scenario involving thrombectomy performed with a Fogarty catheter during an open operation. It is aimed at coding professionals who need to distinguish broad procedural approach categories in complex arterial cases and understand how the article applies ICD-10-PCS conventions to the situation presented.
Why This Topic Matters
Approach selection affects accurate inpatient procedure coding and reflects how the procedure was performed, which is important in complex open vascular cases where instruments are passed through an open incision.
What You Will Learn
- How the article frames approach selection in an open vascular thrombectomy scenario
- How the discussion applies ICD-10-PCS procedural concepts to a Fogarty catheter case
- Why procedure approach classification matters in complex arterial surgery coding
- How the article presents the relationship between the open incision and the thrombectomy site
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation improvement specialists
- Health information management professionals
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