AHA Coding Clinic® for ICD-9 - 2011 Issue 2; Ask the Editor

Thrombosis of a Femoral Popliteal Bypass Graft

There is confusion among coders regarding whether code 996.74, Other complications of internal (biological) (synthetic) prosthetic device, implant, and graft, Due to other vascular device, implant, and graft, adequately describes thrombosis of a femoral popliteal bypass graft. Some coders disagree, stating that 996.74 does not describe the site of the thrombosis; therefore, code 444.22, Arterial embolism and thrombosis, Lower extremity, should be added as an additional diagnosis to further specify the complication of the graft. What are the correct diagnosis code assignment(s) for thrombosis of a femoral popliteal bypass graft? ...

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