Axillofemoral bypass grafting: Difference between revisions

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*** If we add this one to [[Template:CCI Guideline Vascular graft]] we should also add what vessels to combine for fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-fem bypass, etc.
*** If we add this one to [[Template:CCI Guideline Vascular graft]] we should also add what vessels to combine for fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-fem bypass, etc.


*AG REPLY -- code it as [[(T) Arteries of Leg, NOS]] combined with [[Bypass]]
*AG REPLY -- code ax-fem bypass as [[(T) Arteries of Leg, NOS]] combined with [[Bypass]].  More generally, for other kinds of vascular bypasses (of which there are many), here are some thoughts:
**The primary CCI coding should be the vessel being bypassed (i.e. the one with the blockage) combined with [[Bypass]].  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]].  Obviously if they use a dacron graft, then there'll be no harvesting.


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Revision as of 10:15, 8 April 2020

When we have an answer, this information should be moved to Template:CCI Guideline Vascular graft and linked as appropriate in Procure, Harvest, Obtain for Further Use. At the least, something linke "such as axillofemoral bypass grafting" needs to go in there so it can be found in future

  • AG REPLY -- code ax-fem bypass as (T) Arteries of Leg, NOS combined with Bypass. More generally, for other kinds of vascular bypasses (of which there are many), here are some thoughts:
    • The primary CCI coding should be the vessel being bypassed (i.e. the one with the blockage) combined with Bypass. 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. Obviously if they use a dacron graft, then there'll be no harvesting.
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