AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 4; Ask the Editor

Stage II Cephalic Vein Transposition (Superficialization) of Arteriovenous Fistula

The patient is a 59-year-old female with end stage renal disease (ESRD), who had recently undergone formation of a right arteriovenous (AV) fistula stage I. She now presents for the second stage of the procedure. The surgeon documented, “right upper extremity cephalic transposition AV fistula.” During the surgery, a longitudinal incision was performed; the basilic vein was evaluated and found to be an unsuitable conduit. The cephalic vein was then exposed and the dissection was continued to the antecubital crease where the cephalic vein was of appropriate caliber. The antecubital incision was again re-incised and the anastomosis interrogated. The patient was heparinized and the vein transected. The vein was removed from its bed and tunneled in a subdermal fashion in a transposed manner. The anastomosis was then re-performed below the antecubital with Prolene suture. Flow was restored and the incision was then closed. What is the ICD-10-PCS procedure code for this surgery? ...

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