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Template:CCI Guideline Vascular graft: Difference between revisions

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Duplicate content consolidated under only one heading. ; took out transfusion category, this has nothing to do with transfusions.
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==== Harvesting for the graft ====
==== 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.
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)
* this was not about the vessel that supplies the graft but the target for the blood supply, Tina will integrate}}


==== Placing the graft ====
==== Placing the graft ====
*When a native vessel is harvested and used for the bypass, then you should code BOTH the harvesting and the bypass placement. 
Code:
*When an artifical vessel (e.g. dacron) is used for the bypass, then just code the bypass placement.
* 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.
*In both cases, the CCI code for the bypass goes according to 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 ====
==== Procedures done to a graft at a later time ====
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{{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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