Coding Tip: Reporting Endarterectomy in addition to the bypass
Kim Carrier RHIT, CDIP, CCS, CCS-P
Director of Coding Quality Assurance
AHIMA Approved ICD-10-CM/PCS Trainer
Reporting Endarterectomy in addition to the bypass (same vessel) in ICD-10-PCS
If the endarterectomy is performed in the same artery that is bypassed no additional code would be reported for the separate endarterectomy. The endarterectomy is considered integral part of the bypass procedure. Most often, the endarterectomy is performed to help facilitate the anastomosis/bypass.
If there is a separate objective documented for the endarterectomy then it would be appropriate to report in addition. If the endarterectomy is performed on a separate artery than the bypassed artery with a separate objective than to facilitate bypass it would be appropriate to report in addition.
At this time, there is not a Coding Clinic or coding directive discussing this in detail for ICD-10-PCS. However, according to ICD-10-CM/PCS Coding Clinic, Fourth Quarter 2015 pages 20-21, we may still utilize past issues of AHA Coding Clinic for ICD-9-CM unless it is superseded or is specific to a particular ICD-9 code.
AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, Fourth Quarter 2015, Pages 20 & 21. This is the basis of this coding tidbit.
AHA Coding Clinic for ICD-9-CM, Third Quarter 1993, Pages 7 & 8.
The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
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