ICD-10 Challenge September 18, 2015

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ICD-10 Challenge September 18, 2015

Postby admin » Thu Sep 17, 2015 1:10 pm

Identify the proper code(s) for:
Coronary artery bypass grafting of the left anterior descending artery using the left internal mammary artery, open, off-pump
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Re: ICD-10 Challenge September 18, 2015

Postby admin » Thu Sep 24, 2015 3:23 pm

The correct answer is 02100Z9.

Rationale: The Alphabetic Index main term is bypass, artery, coronary, one site 0210. Reference the table for 021 for the remaining characters of the code. The boy part value is one site (0), the approach is open (0), there is no device (Z), and the qualifier is the left internal mammary artery (9), resulting in code 02100Z9. With an internal mammary graft, the vessel is sutured to the coronary artery but remains attached to its native blood supply on the other end.
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