AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor

Abdominal Aortic Debranching with Bypass of External Iliac Artery to Bilateral Renal Arteries and Superior Mesenteric Artery

A 77-year-old male with severe emphysema was found to have a suprarenal abdominal aortic aneurysm involving the aortic segment, including the renal arteries and superior mesenteric artery (SMA).  The patient was not a good candidate for repair with thoracoabdominal approach due to his significant chronic obstructive pulmonary disease (COPD); therefore, he was advised to undergo aortic debranching in preparation for subsequent aortic endograft placement.  Abdominal aortic debranching was performed with bypass from the right external iliac artery to right and left renal arteries and the superior mesenteric artery using Dacron grafts.  What is the appropriate root operation for the debranching procedure?  How should these procedures be reported? ...

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