EmailAcute thrombosis of aorto bifemoral bypass graft
Publication Date: June 2013
ICD 10 AM Edition: Seventh edition
Retired Date: 30/6/2017
Query Number: 2783
What is the correct code to use for acute thrombosis of aorto bifemoral bypass graft?
The patient was admitted with an occluded aortobifemoral bypass graft, the original bypass having been performed 19 months previously. A thrombectomy and synthetic patch graft was performed on the grafted section of the artery.
Is the thrombosis considered to be a normal disease progression, and should therefore be coded as:
I74.3 Embolism and thrombosis of arteries of lower extremities,
or is it a complication of the graft:
T82.8 Other specified complications of cardiac and vascular prosthetic devices, implants and grafts.
Note: there is no documentation that the thrombosis is due to or a complication of the graft.
Search Details:
Thrombosis
- artery
--limb
---lower I74.3
Thrombosis
-due to device, implant or graft
--arterial graft NEC T82.8
Complication
-graft
--aterial
---specified T82.8
The patient was admitted with an occluded aortobifemoral bypass graft, the original bypass having been performed 19 months previously. A thrombectomy and synthetic patch graft was performed on the grafted section of the artery.
Is the thrombosis considered to be a normal disease progression, and should therefore be coded as:
I74.3 Embolism and thrombosis of arteries of lower extremities,
or is it a complication of the graft:
T82.8 Other specified complications of cardiac and vascular prosthetic devices, implants and grafts.
Note: there is no documentation that the thrombosis is due to or a complication of the graft.
Search Details:
Thrombosis
- artery
--limb
---lower I74.3
Thrombosis
-due to device, implant or graft
--arterial graft NEC T82.8
Complication
-graft
--aterial
---specified T82.8
Response
VICC advises that in accordance with ACS 1904 Procedural complications conditions are coded to procedural complications codes only if the condition or injury is directly related to a surgical/procedural intervention.
As in the scenario cited there is no documentation that the condition is directly related to the previous graft, the appropriate code to assign is I74.3 Embolism and thrombosis of arteries of lower extremities.
Assignment of this code is also supported by the advice in ACS 0941 Arterial disease which says that thrombosis of other arteries should be assigned codes in accordance with the Alphabetic Index of Diseases.
As in the scenario cited there is no documentation that the condition is directly related to the previous graft, the appropriate code to assign is I74.3 Embolism and thrombosis of arteries of lower extremities.
Assignment of this code is also supported by the advice in ACS 0941 Arterial disease which says that thrombosis of other arteries should be assigned codes in accordance with the Alphabetic Index of Diseases.
