Template:CCI Guideline Vascular graft
This template puts the guidelines for transfusion into the relevant procedures.
To use:
- {{CCI Guideline Vascular graft}}
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-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.
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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)
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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.
- When an artifical vessel (e.g. dacron) is used for the bypass, then just code the bypass placement.
- 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.
Procedures done to a graft at a later time
Procedures performed on vascular grafts (either synthetic grafts or vessels harvested from elsewhere for use) are coded just as you would if the same thing was done to the native vessel.
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.
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