AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Transcarotid Arterial Catheterization

A patient underwent transcarotid arterial catheterization (TCAR) to treat right internal carotid artery stenosis. At surgery, a cutdown was made in the neck; the common carotid artery was accessed with a needle; a microwire was advanced; and the internal carotid artery was wired. The vessel was predilated with a balloon, the stent was landed and completion angiogram showed excellent results. Coding Clinic Second Quarter 2017, page 23, advised “Open approach” for a thrombectomy performed via catheter where the procedure site was reached through an open incision.  What is the appropriate approach value for this procedure? ...

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