Template:CCI Guideline Vascular graft: Difference between revisions

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</noinclude>===Vascular graft guideline===

Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-fem bypass

Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass / axillobifemoral bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-biiliac bypass, aorto-fem bypass

==== Harvesting for the graft ====

If they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the appropriate [[Therapeutic Px]] from [[:Category:Vessel]] with [[Procure, Harvest, Obtain for Further Use]]. Obviously if they use a dacron graft, then there'll be no harvesting.

{{DA | You had written something that seemed contradictory to me: "Thus don't generally include the vessel SUPPLYING the bypass (e.g. in an ax-fem, the femoral is the one blocked and the axillary is supplying the blood to it via a bypass). Now IF they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the vessel taken with Procure, Harvest, Obtain for Further Use." - Do we code the harvest or not? Ttenbergen 21:29, 2020 April 8 (CDT)}}

==== Placing the graft ====

~~When a graft is used to repair or~~ bypass ~~a native vessel~~, ~~then you just combine~~ the vessel ~~in question with either '''~~[[~~Repair~~]] or [[Bypass]]~~'''~~ as appropriate ~~-- i.e. the fact that it was done with a graft is not something we're capturing in CCI at this time.~~

Code:

* the [[CCI1 code]] for the '''target''' (bypassed) vessel at which the bypass ends, not the origin vessel from which the bypass (and blood flow) begins.

* the [[CCI2 code]] [[Bypass]] / [[Repair]] as appropriate

==== Procedures done to a graft at a later time ====

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When something is being done '''to''' a graft that's already in place, the "body part" of the CCI component code isn't the graft but rather is the native vessel that was there before grafting.

{{Ex | Femoral artery dacron graft gets infected and is replaced. The ICD10 diagnosis code would be '''[[Iatrogenic, infection, internal prosthetic device or implant or graft NOS]]''', and the CCI code components would be '''[[(T) Arteries of Leg, NOS]]''' with '''[[Repair]]'''}}

{{Ex | Femoral artery dacron graft gets infected and is replaced. The ICD10 diagnosis code would be '''[[Iatrogenic, infection, internal prosthetic device or implant or graft NOS]]''', and the CCI code components would be '''[[(T) Arteries of Leg, NOS]]''' with '''[[Repair]]'''

}}

~~[[Category:Transfusion]]~~

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 </noinclude>===Vascular graft guideline===
-Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-fem bypass
+Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass / axillobifemoral bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-biiliac bypass, aorto-fem bypass
 ==== Harvesting for the graft ====
 If they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the appropriate [[Therapeutic Px]] from [[:Category:Vessel]] with [[Procure, Harvest, Obtain for Further Use]].  Obviously if they use a dacron graft, then there'll be no harvesting.
-{{DA | You had written something that seemed contradictory to me: "Thus don't generally include the vessel SUPPLYING the bypass (e.g. in an ax-fem, the femoral is the one blocked and the axillary is supplying the blood to it via a bypass). Now IF they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the vessel taken with Procure, Harvest, Obtain for Further Use." - Do we code the harvest or not? Ttenbergen 21:29, 2020 April 8 (CDT)}}
 ==== Placing the graft ====
-When a graft is used to repair or bypass a native vessel, then you just combine the vessel in question with either '''[[Repair]] or [[Bypass]]''' as appropriate -- i.e. the fact that it was done with a graft is not something we're capturing in CCI at this time.
+Code:
+* the [[CCI1 code]] for the '''target''' (bypassed) vessel at which the bypass ends, not the origin vessel from which the bypass (and blood flow) begins.
+* the [[CCI2 code]] [[Bypass]] / [[Repair]] as appropriate
 ==== Procedures done to a graft at a later time ====
@@ Line 25: / Line 25: @@
 When something is being done '''to''' a graft that's already in place, the "body part" of the CCI component code isn't the graft but rather is the native vessel that was there before grafting.
-{{Ex | Femoral artery dacron graft gets infected and is replaced.  The ICD10 diagnosis code would be '''[[Iatrogenic, infection, internal prosthetic device or implant or graft NOS]]''', and the CCI code components would be '''[[(T) Arteries of Leg, NOS]]''' with '''[[Repair]]'''}}
+{{Ex | Femoral artery dacron graft gets infected and is replaced.  The ICD10 diagnosis code would be '''[[Iatrogenic, infection, internal prosthetic device or implant or graft NOS]]''', and the CCI code components would be '''[[(T) Arteries of Leg, NOS]]''' with '''[[Repair]]'''
 }}
-[[Category:Transfusion]]