AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

Femoral to Peroneal Artery Bypass with In-Situ Saphenous Vein Graft and Lysis of Valves

The patient presented for a left femoral to peroneal artery bypass. After several attempts to find a suitable vein, it was determined that the greater saphenous would have to be utilized as an in-situ graft. The greater saphenous vein was transected free at the below knee incision, multiple branches were clipped. An endarterectomy was performed of the common and deep femoral artery and the greater saphenous vein was then anastomosed and utilized as a vein patch in the distal arteriotomy which extended into the deep femoral artery. A valvulotome was passed from the below knee greater saphenous vein up to the proximal anastomosis and the valves were lysed. Is a code assigned for the excision of the saphenous vein when an in-situ bypass is performed? Are the lysis of the valves additionally reported? ...

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