AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor

Coronary Artery Bypass Graft Surgery with Endarterectomy

A patient underwent coronary artery bypass grafting to four vessels including internal mammary to the left anterior descending (LAD), a reverse saphenous vein graft placed to the obtuse marginal (OM), the posterolateral branch (PLB) and the posterior descending (PDA) arteries. An endarterectomy was performed to a segment of the PDA prior to performing the distal anastomosis. Is it appropriate to assign a separate code for the endarterectomy or is it inherent to the CABG surgery? ...

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