Health Information Management

ICD-10-PCS bypass is more than CABG

HIM-HIPAA Insider, January 12, 2015

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Coronary artery bypass graft (CABG) procedures are not the only ones coders will report using the root operation Bypass in ICD-10-PCS. Surgeons can create bypasses in other vessels of the body.

The coding rules for a CABG procedure differ somewhat from other vessel bypass procedures, says Lisa Crow, MBA, RHIA, AHIMA-approved ICD-10-CM/PCS trainer and director of auditing services for TrustHCS in Springfield, Missouri.
In a CABG, the surgeon uses a graft (often from the patient) to connect two arteries and divert the blood flow around the blockage or narrowing caused by coronary artery disease (CAD). Alternately, the surgeon may reroute the internal mammary artery around the blockage. In ICD-10-PCS codes for CABG, the fourth character (body part) specifies the body part bypassed to and the seventh character (qualifier) identifies the body part bypassed from.
Continue reading "ICD-10-PCS bypass is more than CABG" on the HCPro website. Subscribers to Briefings on Coding Compliance Strategies have free access to this article in the January issue.

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