AHA Coding Clinic® for ICD-9 - 2006 Issue 3; Ask the Editor

Inahara Pruitt Shunt and Carotid Endarterectomy

An Inahara Pruitt shunt was used during left carotid endarterectomy with pericardial patch angioplasty. An arteriotomy was made on the common carotid and extended on to the internal carotid. There was some back bleeding from the internal carotid, but it was not adequate, so the shunt was placed. The shunt was removed following endarterectomy with patch angioplasty, the vessels were flushed and blood flow was restored. Is the shunt inherent to the procedure? If not, what is the appropriate code assignment for the Inahara Pruitt shunt? ...

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