AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Revision of Transjugular Intrahepatic Portosystemic Shunt (TIPS)

The patient was admitted due to occlusion of his transjugular intrahepatic portosystemic shunt (TIPS) at the portal end. Basket and balloon clot macerations were performed with successful removal of the clots at the medial and lateral TIPS. The lateral TIPS was relined by advancing a stent across the TIPS, extending it by 1 cm, followed by balloon dilatation.  Final splenic-portography showed the TIPS shunt to be widely open. What are the appropriate ICD-10-PCS code assignments for this procedure? ...

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